Original Care Medical PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

259336 Issued in NY

Legal business name

ORIGINAL CARE MEDICAL PC

Practice address

333 Greene Ave
Brooklyn, NY 11238-2295

Phone

(718) 758-5777

Fax

(888) 887-9723

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Anna Kogan, M.D.NPI 1326208166

Title

President

Phone

(718) 775-5960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Kogan, MD

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Brooklyn, NY
  • NPI 1326208166
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1508133232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382295",
            "telephone_number": "718-758-5777",
            "fax_number": "888-887-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382295",
            "telephone_number": "718-758-5777",
            "fax_number": "888-887-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINAL CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-775-5960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "259336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oriental Senior Day Care Inc.
• Sadorathon Orifzoda, PHARMD
• Origin Medical PC
• Origin Occupational & Physical Therapy PLLC
• Origin Pain Management and Medical Care, PLLC
• Stella Orimolade
• Dmitry Orin
• Nathalie Oriol-Hsiao, RN
• Lourdes Oriol
• Orion Adult Day Care Center, Inc.

• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.