Patricia Kavanagh, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

219192 Issued in NY

Practice address

44 Court Street
Suite 907
Brooklyn, NY 11201-4413

Phone

(718) 403-9255

Fax

(718) 403-9855

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/743/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patricia Kavanagh, M.D., PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1851419964
  NPD (past) Authorized official
• Long Island College Hospital

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1063469963
  NPD (past)
• University Physicians of Brooklyn, Inc.

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1477500916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1275616435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COURT STREET",
            "address_2": "SUITE 907",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014413",
            "telephone_number": "718-403-9255",
            "fax_number": "718-403-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COURT STREET",
            "address_2": "SUITE 907",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014413",
            "telephone_number": "718-403-9255",
            "fax_number": "718-403-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "219192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kav Counseling, LCSW, PLLC
• Myroslava Vasylivna Kavaka
• Katsiaryna Kavalchuk, OD
• Grace McDonnell Kavanagh, LMSW
• Marie-Lucie Kavanagh
• Grace K Kavanah, RN
• Brendan Tyrone Kavanaugh, LSW
• Vaishnavi Kaveeshwar, PT
• Eliyahu Kavian, PA-C
• Rena Kavian, PA

• Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.