Alexander Kogos Medical, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

241062 Issued in NY

Legal business name

ALEXANDER KOGOS MEDICAL, PC

Practice address

520 Neptune Ave
Brooklyn, NY 11224-4004

Phone

(718) 946-8585

Fax

(718) 946-3230

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Kogos, M.D.

Title

President

Phone

(718) 946-8585

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821215757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244004",
            "telephone_number": "718-946-8585",
            "fax_number": "718-946-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244004",
            "telephone_number": "718-946-8585",
            "fax_number": "718-946-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER KOGOS MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOGOS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-946-8585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "241062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02781799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Bangiev Medical PC
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• Alexander Perkelvald MD PC
• Alexander Psychotherapy LCSW PC

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.