Active NPI
Blair Kokotek, PHYSICIAN
- Obstetrics & Gynecology Physician
- Bronx, NY
National Provider Identifier
1285761304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 151150
- Practice address
- 1650 Grand Concourse
5TH FL. OB GYN Administration
Bronx, NY 10457-7606 - Phone
- (718) 239-8383
- Fax
- (718) 239-8360
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 151150 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
5TH FL. OB GYN Administration
Bronx, NY 10457-7606
Mailing address
1650 Grand Concourse
OB/GYN 5TH FL (Admin)
Bronx, NY 10457-7606
Phone (718) 239-8383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01170901 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1285761304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "OB/GYN 5TH FL (ADMIN)",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-239-8383",
"fax_number": "718-239-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "5TH FL. OB GYN ADMINISTRATION",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-239-8383",
"fax_number": "718-239-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKOTEK",
"first_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "PHYSICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "151150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01170901",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.