Active NPI
Irina Kovaleva Medical Care PC
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 223507
- Legal business name
- IRINA KOVALEVA MEDICAL CARE PC
- Practice address
- 2952 Brighton 3Rd St
Suite 301
Brooklyn, NY 11235-6897 - Phone
- (718) 708-4046
- Fax
- (718) 732-2728
- NPI assigned
- Mar 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irina Kovaleva
- Title
- MD
- Phone
- (718) 333-1025
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 223507 | NY | Primary |
Addresses
Primary practice location
2952 Brighton 3Rd St
Suite 301
Brooklyn, NY 11235-6897
Mailing address
2952 Brighton 3Rd St
Suite 301
Brooklyn, NY 11235-6897
Phone (718) 708-4046
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02349948 | Medicaid | NY | |
| 03836308 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2952 Brighton 3rd St
Ste 301
Brooklyn, NY 11235
Phone (718) 232-4100
3121 Ocean Ave
Ste 503
Brooklyn, NY 11235
Phone (718) 708-4046
3121 Ocean Ave
#503
Brooklyn, NY 11235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1972537991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484870400000",
"number": "1922423771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2952 BRIGHTON 3RD ST",
"address_2": "SUITE 301",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356897",
"telephone_number": "718-708-4046",
"fax_number": "718-732-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2952 BRIGHTON 3RD ST",
"address_2": "SUITE 301",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356897",
"telephone_number": "718-708-4046",
"fax_number": "718-732-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRINA KOVALEVA MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-03",
"last_updated": "2017-01-20",
"status": "A",
"authorized_official_last_name": "KOVALEVA",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-333-1025"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "223507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02349948",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03836308",
"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 Jan 20, 2017; 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.