Organization Active NPI

I Mikheyeva Medical PC

  • Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1902248362
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
254486 Issued in NY
Legal business name
I MIKHEYEVA MEDICAL PC
Practice address
111 North 7TH St.
Brooklyn, NY 11211
Phone
(718) 384-4002
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Mrs. Irina Mikheyeva, DONPI 1245411354
Title
President
Phone
(718) 986-6664

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 254486 NY Primary

Addresses

Primary practice location

111 North 7TH St.
Brooklyn, NY 11211

Mailing address

2701 Cropsey Ave
1D
Brooklyn, NY 11214-6800
Phone (718) 986-6664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140808001369 NY Part B Supplier - Clinic/Group Practice 2365669702 Receives reassigned benefits from 2 practitioners
Practice locations: Bronx, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2148 Ocean Ave
Fl 2
Brooklyn, NY 11229

2148 Ocean Ave
Ste 402
Brooklyn, NY 11229
Phone (718) 975-7533

Practitioners & affiliated clinicians

Practitioners 2

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": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1902248362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CROPSEY AVE",
            "address_2": "1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146800",
            "telephone_number": "718-986-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH 7TH ST.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-384-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I MIKHEYEVA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "MIKHEYEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-986-6664",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "254486",
            "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 Jul 25, 2013; 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.