K & K Broadway Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

K & K BROADWAY INC.

Practice address

111 Broadway RM 1405
New York, NY 10006-3903

Phone

(212) 204-8111

Fax

(718) 646-8400

NPI assigned

Jul 3, 2019

Last updated

Jul 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana Lagana

Title

Office Manager

Phone

(718) 833-8777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Kakossian, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1558381954
  NPD (past)
• Ed Michael Khoury, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1134140536
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1427610021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063903",
            "telephone_number": "212-204-8111",
            "fax_number": "718-646-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063903",
            "telephone_number": "212-204-8111",
            "fax_number": "718-646-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K BROADWAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "LAGANA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-833-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.