Individual provider Active NPI

Irina Kogan, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1316352271
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0291723 Issued in NY
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212
Phone
(718) 240-5000
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0291723 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212

Mailing address

192 18TH St Apt 2
Brooklyn, NY 11215-5303
Phone (917) 748-1908

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
I20180607001272 NY Practitioner - Psychiatry 1052676392 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cohen Psychiatric Services PLLCGroup PAC ID 6608103882, 2 clinicians

Practice addresses (Care Compare)

110 E 42ND St
RM 1818
New York, NY 10017-5645
Phone (212) 335-0236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0291723NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychotherapy and Counseling Center CurrentSince Jun 1, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Oct 20, 2018 Accepting new patients
Cohen Psychiatric Services PLLC Psychiatry CurrentSince Oct 5, 2019 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 20, 2018 Accepting new patients
Interfaith Psychiatry Services, P.C. Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Jun 1, 2018 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

26 Broadway
Ste 1107
New York, NY 10004
Phone (212) 335-0236

110 E 42nd St
Rm 1818
New York, NY 10017
Phone (212) 335-0236

Networks

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

Interoperability endpoints

  • Direct secure messaging: cpa.irinakogan@142175.advancedmd-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1316352271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 18TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155303",
            "telephone_number": "917-748-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "0291723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.