Active NPI
Leon Michael Kogan, M.D.
- Gastroenterology Physician
- Babylon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 240404
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 125 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 146 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15962 | NH | MD | Gastroenterology Physician |
| NJ 25MA09015600 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Gastroenterology | Current | 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
- https://fhir4.healow.com/fhir/r4/IHJHBD
- leon.kogan@direct.hobokenumc.md
- 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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
Gastroenterology
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.