Active NPI
Yelena Kagan, O.D.
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007459
- Practice address
- 3723 Nostrand Ave
Brooklyn, NY 11235-1907 - Phone
- (718) 646-6200
- Fax
- (718) 648-0836
- NPI assigned
- Jul 12, 2009
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007459 | NY | Primary |
Addresses
Primary practice location
3723 Nostrand Ave
Brooklyn, NY 11235-1907
Mailing address
3723 Nostrand Ave
Brooklyn, NY 11235-1907
Phone (718) 490-8567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03136023 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
119 Church Ave
Brooklyn, NY 11218-3917
Phone (718) 436-1848
1402 Sheepshead Bay Rd
Brooklyn, NY 11235-3814
Phone (718) 934-1155
3723 Nostrand Ave
Brooklyn, NY 11235-1907
Phone (718) 646-6200
3849 Route 9
Old Bridge, NJ 08857-2717
Phone (732) 696-8934
4526 Broadway
New York, NY 10040-2404
Phone (212) 304-3585
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vogue Optical LTD | Current | Accepting new patients | |
| Mda Management Inc | Optometrist | Current | Accepting new patients |
| Gama Management Inc. | Optometrist | Current | Accepting new patients |
| Yk Optometry | Optometrist | Current | Accepting new patients |
| Optical Warehouse Outlet of Brooklyn Inc | Current | Accepting new patients | |
| Family Eyecare LLC | Optometrist | Past | Accepting new patients |
Locations
3849 US Highway 9
Old Bridge, NJ 08857
Phone (732) 696-8934
3723 Nostrand Ave
Brooklyn, NY 11235
Phone (718) 646-6200
1402 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 332-8425
4526 Broadway
New York, NY 10040
Phone (212) 304-3585
Organizations & group practices 7
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.
-
- Optometrist
- Old Bridge, NJ
- NPI 1023874740
-
- Optician
- Brooklyn, NY
- NPI 1720175938
-
- Optometrist
- Brooklyn, NY
- NPI 1063587780
-
- Exclusive Provider Organization
- Brooklyn, NY
- NPI 1982646477
-
- Optometrist
- Linden, NJ
- NPI 1700220886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1427287440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3723 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351907",
"telephone_number": "718-490-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351907",
"telephone_number": "718-646-6200",
"fax_number": "718-648-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "YELENA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-12",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03136023",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.