Individual provider Active NPI

Regina Kogan, PA-C, MPAS

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1851603575
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
008147 Issued in NY
Practice address
81 Willoughby St
Dmitry Bronfman MD, Att. Regina Kogan
Brooklyn, NY 11201-5291
Phone
(718) 875-4848
Fax
(718) 222-1709
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 008147 NY Primary

Addresses

Primary practice location

81 Willoughby St
Dmitry Bronfman MD, Att. Regina Kogan
Brooklyn, NY 11201-5291

Mailing address

81 Willoughby St
Dmitry Bronfman MD, Att. Regina Kogan
Brooklyn, NY 11201-5291
Phone (718) 875-4848

Other identifiers 1

IdentifierTypeStateIssuer
008147OtherNYNY STATE LISENCE

Other names 1

  • Regina Kogan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008147NYMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: rkiogan@pgs.gwaydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432339200000",
    "number": "1851603575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WILLOUGHBY ST",
            "address_2": "DMITRY BRONFMAN MD, ATT. REGINA KOGAN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015291",
            "telephone_number": "718-875-4848",
            "fax_number": "718-222-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WILLOUGHBY ST",
            "address_2": "DMITRY BRONFMAN MD, ATT. REGINA KOGAN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015291",
            "telephone_number": "718-875-4848",
            "fax_number": "718-222-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2015-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "008147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LISENCE",
            "identifier": "008147",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "KOGAN",
            "credential": "PA-C MPAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 May 23, 2015; 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.