Active NPI
Agnieszka Kokoszka, MD
- Clinical Neurophysiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 233258-1
- Practice address
- 108 W 39TH St
Suite 1601
New York, NY 10018-3614 - Phone
- (646) 661-4117
- Fax
- (646) 661-2112
- NPI assigned
- May 28, 2008
- Last updated
- Jan 18, 2016
- 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 |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 233258-1 | NY | Primary |
Addresses
Primary practice location
108 W 39TH St
Suite 1601
New York, NY 10018-3614
Mailing address
108 W 39TH St
Suite 1601
New York, NY 10018-3614
Phone (646) 661-4117
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- State University of New York at Stony Brook, School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
314 W 14TH St
FL 6
New York, NY 10014-5002
Phone (212) 523-6521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233258-1 | NY | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Diagnostics Inc | Current | Accepting new patients | |
| New York Neurology Associates, P.C. | Current | Accepting new patients | |
| Medalliance Medical Health Services Inc | Current | Accepting new patients | |
| Salutem Diagnostics LLC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Audrey Halpern MD PC | Past | Accepting new patients | |
| Slrhc Faculty Practice | Past | Accepting new patients | |
| St Lukes Roosevelt Community Care | Past | Accepting new patients | |
| Department of Neurology Professional Services Group/Slrhc | Past | Accepting new patients |
Locations
625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433
3858 Nostrand Ave
Ste 201
Brooklyn, NY 11235
2965 Long Beach Rd
Oceanside, NY 11572
Phone (516) 593-8953
Organizations & group practices 11
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.
-
- Clinic/Center
- Bronx, NY
- NPI 1558356741
-
- Specialist
- New York, NY
- NPI 1538184379
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1891008215
-
- Specialist
- Jamaica, NY
- NPI 1215538863
-
- Specialist
- Staten Island, NY
- NPI 1609450659
-
- Neurology Physician
- New York, NY
- NPI 1194045930
-
- Neurology Physician
- New York, NY
- NPI 1811974330
-
dba OB/GYN Department of Mount Sinai
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- Surgery Physician
- New York, NY
- NPI 1568664928
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1326206285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W 39TH ST",
"address_2": "SUITE 1601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183614",
"telephone_number": "646-661-4117",
"fax_number": "646-661-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W 39TH ST",
"address_2": "SUITE 1601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183614",
"telephone_number": "646-661-4117",
"fax_number": "646-661-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKOSZKA",
"first_name": "AGNIESZKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NY",
"license": "233258-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.