Individual provider Active NPI

Leon Michael Kogan, M.D.

  • Gastroenterology Physician
  • Babylon, NY
National Provider Identifier
1598916223
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
240404 Issued in NY
Practice address
400 W Main St Ste 300
Babylon, NY 11702-3019
Phone
(631) 321-6400
Fax
(631) 321-2969
NPI assigned
Sep 30, 2008
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 15962 NH
Gastroenterology Physician 207RG0100X NJ 25MA09015600 NJ
Gastroenterology Physician 207RG0100X 240404 NY Primary

Addresses

Primary practice location

400 W Main St Ste 300
Babylon, NY 11702-3019

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

580 St. Johnsbury Rd.
Littleton, NH 03561
Phone (603) 259-7798

Other practice location 2

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 897-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090312000152 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2365508652 Reassigns benefits to 2 organizations
I20120313000315 NJ Practitioner - Gastroenterology 2365508652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

400 W Main St
Suite 300
Babylon, NY 11702-3019
Phone (631) 321-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy125
Upper gastrointestinal (GI) endoscopy for acid reflux146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15962NHMDGastroenterology Physician
NJ 25MA09015600NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Oct 15, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 9, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 9, 2024 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Wyckoff Professional Medical Services, PC Gastroenterology CurrentSince Dec 10, 2017 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

350 W Main St
Babylon, NY 11702
Phone (631) 661-2277

400 W Main St
Ste 300
Babylon, NY 11702
Phone (631) 321-6400

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

471 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-2260

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: leon.kogan@direct.hobokenumc.md
  • Direct secure messaging: lkogan111448@direct-chsli.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1598916223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 300",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023019",
            "telephone_number": "631-321-6400",
            "fax_number": "631-321-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 St. Johnsbury Rd.",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "NH",
            "postal_code": "03561",
            "country_code": "US",
            "telephone_number": "603-259-7798",
            "fax_number": "201-986-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 State Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-897-2770",
            "fax_number": "732-897-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "LEON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "15962",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "NJ 25MA09015600",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "240404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.