Organization Active NPI

Aga Medical Care, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1861694630
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207506 Issued in NY
Legal business name
AGA MEDICAL CARE, PLLC
Practice address
1400 Avenue Z
Suite 202
Brooklyn, NY 11235-3800
Phone
(718) 421-9070
Fax
(718) 421-9073
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Aleksandra Raykher, M.D.
Title
President
Phone
(718) 421-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 207506 NY Primary

Addresses

Primary practice location

1400 Avenue Z
Suite 202
Brooklyn, NY 11235-3800

Mailing address

181 Beach 141St St
Belle Harbor, NY 11694-1227
Phone (718) 421-9070

Other identifiers 1

IdentifierTypeStateIssuer
01798067MedicaidNY

National Provider Directory

National Provider Directory

Locations

1400 Avenue Z
Ste 202
Brooklyn, NY 11235
Phone (718) 421-9070

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1861694630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BEACH 141ST ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941227",
            "telephone_number": "718-421-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AVENUE Z",
            "address_2": "SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353800",
            "telephone_number": "718-421-9070",
            "fax_number": "718-421-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGA MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "RAYKHER",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-421-9070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01798067",
            "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 Apr 9, 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.