Organization Active NPI

Rego Medical P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1861602633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REGO MEDICAL P.C.
Practice address
1513 Voorhies Ave Ste LL
Brooklyn, NY 11235-3994
Phone
(718) 332-5617
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Kostin, MDNPI 1790797322
Title
President
Phone
(718) 332-5617

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1513 Voorhies Ave Ste LL
Brooklyn, NY 11235-3994

Mailing address

1513 Voorhies Ave Ste LL
Brooklyn, NY 11235-3994
Phone (718) 332-5617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190917003187 NY Part B Supplier - Clinic/Group Practice 8628308616 Receives reassigned benefits from 1 practitioner
Practice locations: Broklyn, NY; Brooklyn, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

1513 Voorhies Ave
Ste Ll
Brooklyn, NY 11235
Phone (718) 332-5617

1409 Gravesend Neck Rd
Brooklyn, NY 11229
Phone (718) 332-7771

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861602633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VOORHIES AVE STE LL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353994",
            "telephone_number": "718-332-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 VOORHIES AVE STE LL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353994",
            "telephone_number": "718-332-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGO MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSTIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-5617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.