Organization Active NPI

Advanced Neurology PC

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1699059451
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ADVANCED NEUROLOGY PC
Practice address
445 Kings Hwy
2 Floor
Brooklyn, NY 11223-1780
Phone
(718) 676-0111
Fax
(718) 676-9710
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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

Authorized official

Name
Dr. Irina KoganNPI 1679730477
Title
Owner
Phone
(718) 676-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

445 Kings Hwy
2 Floor
Brooklyn, NY 11223-1780

Mailing address

445 Kings Highway
2 Floor
Brooklyn, NY 11229-1780
Phone (718) 676-0111

National Provider Directory

National Provider Directory

Locations

2818 Ocean Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 934-8484

445 Kings Hwy
#B
Brooklyn, NY 11223
Phone (718) 676-0111

8707 Flatlands Ave
#C
Brooklyn, NY 11236
Phone (718) 676-1243

2792 Ocean Ave
#5A
Brooklyn, NY 11229
Phone (718) 676-0111

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418428800000",
    "number": "1699059451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 KINGS HIGHWAY",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291780",
            "telephone_number": "718-676-0111",
            "fax_number": "718-676-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 KINGS HWY",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231780",
            "telephone_number": "718-676-0111",
            "fax_number": "718-676-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2014-12-13",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-676-0111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 13, 2014; 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.