Individual provider Active NPI

Yelena Kogelman, M.D

  • Pediatric Endocrinology Physician
  • Brooklyn, NY
National Provider Identifier
1285920314
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
261478 Issued in NY
Practice address
6701 Bay Pkwy
Brooklyn, NY 11204-4749
Phone
(718) 283-7500
Fax
(718) 748-4203
NPI assigned
Jun 27, 2011
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 261478-1 NY
Pediatric Endocrinology Physician 2080P0205X 261478 NY Primary

Addresses

Primary practice location

6701 Bay Pkwy
Brooklyn, NY 11204-4749

Mailing address

579 Franklin Tpke
Ridgewood, NJ 07450-1990

Other practice location 1

948 48th St
Brooklyn, NY 11219-2918
Phone (718) 283-8260

Other practice location 2

579 Franklin Tpke
Ridgewood, NJ 07450-1990
Phone (201) 447-8182

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140107000547 NY Practitioner - Pediatric Medicine 3173751740 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261478-1NYMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Sep 9, 2018 Accepting new patients
Maimonides Medical Center General Acute Care Hospital Current Accepting new patients
MMC Pediatrics Faculty Practice CurrentSince Sep 9, 2018 Accepting new patients
MMC Endocrine Associates Pediatric Endocrinology Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

948 48th St
Brooklyn, NY 11219
Phone (718) 283-7219

977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: yelena.kogelman.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: yelenakogelman@mai.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1285920314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FRANKLIN TPKE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044749",
            "telephone_number": "718-283-7500",
            "fax_number": "718-748-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "948 48th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192918",
            "country_code": "US",
            "telephone_number": "718-283-8260",
            "fax_number": "718-283-6147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "579 Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074501990",
            "country_code": "US",
            "telephone_number": "201-447-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGELMAN",
        "first_name": "YELENA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "261478-1",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "261478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.