Active NPI
Regina Kogan, PA-C, MPAS
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1851603575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 008147
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008147 | Other | NY | NY STATE LISENCE |
Other names 1
- Regina Kogan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008147 | NY | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- 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.