Active NPI
Katherine Economos, MD
- Gynecologic Oncology Physician
- Brooklyn, NY
National Provider Identifier
1457324915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 174547
- Practice address
- 506 6TH St
Brooklyn, NY 11215-3609 - Phone
- (718) 780-3272
- Fax
- (718) 780-3079
- NPI assigned
- Feb 7, 2006
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 174547 | NY | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215-3609
Mailing address
PO Box 5453
New York, NY 10087-5453
Phone (718) 780-3272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01439243 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174547 | NY | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Physician Services, PC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Katherine Economos M.D.P.C | Current | Accepting new patients | |
| Park Slope Medical Health Provider, PC | Past | Accepting new patients | |
| Park Slope Medicine, P.C. | Past | Accepting new patients |
Locations
506 6th St
#400
Brooklyn, NY 11215
Phone (718) 246-8614
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
Interoperability endpoints
- katherine.economos.1@25607.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Gynecology Physician
- New York, NY
- NPI 1790439776
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1255611919
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1215989116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1457324915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5453",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100875453",
"telephone_number": "718-780-3272",
"fax_number": "718-780-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-3272",
"fax_number": "718-780-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECONOMOS",
"first_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NY",
"license": "174547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01439243",
"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 Sep 23, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.