Active NPI
Uni Health Medical PC
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 226925
- Legal business name
- UNI HEALTH MEDICAL PC
- Practice address
- 1908 Avenue K
Brooklyn, NY 11230-4904 - Phone
- (718) 859-6786
- Fax
- (718) 859-6783
- NPI assigned
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Andzhelika Kagzanova, DO
- Title
- Solo Practician
- Phone
- (718) 859-6786
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226925 | NY | Primary |
Addresses
Primary practice location
1908 Avenue K
Brooklyn, NY 11230-4904
Mailing address
1908 Avenue K
Brooklyn, NY 11230-4904
Phone (718) 859-6786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051114001111 | NY | Part B Supplier - Clinic/Group Practice | 3577582071 |
Receives reassigned benefits from 3 practitioners Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1041902 | Uni Health Medical PC | Certificate of waiver | Jun 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1908 Avenue K
Brooklyn, NY 11230
Phone (718) 859-6786
1916 Avenue N
#4
Brooklyn, NY 11230
Phone (718) 859-6786
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1265462931
Internal Medicine, NY
-
- Physical Therapist
- Delray Beach, FL
- NPI 1669744017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1740463546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 AVENUE K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304904",
"telephone_number": "718-859-6786",
"fax_number": "718-859-6783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 AVENUE K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304904",
"telephone_number": "718-859-6786",
"fax_number": "718-859-6783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNI HEALTH MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "KAGZANOVA",
"authorized_official_first_name": "ANDZHELIKA",
"authorized_official_title_or_position": "SOLO PRACTICIAN",
"authorized_official_telephone_number": "718-859-6786",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "226925",
"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 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.