Organization Active NPI

Yanina Kovler, M.D.,P.C

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1790010130
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
245681 Issued in NY
Legal business name
YANINA KOVLER, M.D.,P.C
Practice address
2814 W 8TH St Apt 16D
Brooklyn, NY 11224-3311
Phone
(347) 598-0740
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Mrs. Yanina Kovler, M.D.NPI 1124212998
Title
Owner
Phone
(347) 598-0740

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 245681 NY Primary

Addresses

Primary practice location

2814 W 8TH St Apt 16D
Brooklyn, NY 11224-3311

Mailing address

2814 W 8TH St Apt 16D
Brooklyn, NY 11224-3311
Phone (347) 598-0740

Other identifiers 1

IdentifierTypeStateIssuer
02933755MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091029000511 NY Part B Supplier - Clinic/Group Practice 9537206149 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Yanina Kovler MDPC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1660 E 14th St
Ste 302
Brooklyn, NY 11229
Phone (718) 376-8705

Practitioners & affiliated clinicians

Practitioners 1

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": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1790010130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 W 8TH ST APT 16D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243311",
            "telephone_number": "347-598-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W 8TH ST APT 16D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243311",
            "telephone_number": "347-598-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANINA KOVLER, M.D.,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "KOVLER",
        "authorized_official_first_name": "YANINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-598-0740",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "245681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933755",
            "state": "NY"
        }
    ],
    "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 Oct 2, 2009; 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.