Individual provider Active NPI

Jean Atallah-Vinograd, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1942444393
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
279300 Issued in NY
Practice address
2211 Emmons Ave
Brooklyn, NY 11235-2727
Phone
(718) 368-2960
NPI assigned
Apr 29, 2009
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 279300 NY Primary

Addresses

Primary practice location

2211 Emmons Ave
Brooklyn, NY 11235-2727

Mailing address

2211 Emmons Ave
Brooklyn, NY 11235-2727
Phone (718) 368-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708002729 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3173835816 Reassigns benefits to 4 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Gastroenterology Consultants PCGroup PAC ID 8921999079, 13 clinicians

Practice addresses (Care Compare)

1111 Montauk Hwy
Suite 3
West Islip, NY 11795-4910
Phone (631) 669-1171

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy124
Upper gastrointestinal (GI) endoscopy for acid reflux106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Island Gastroenterology Consultants PC CurrentSince Aug 1, 2024 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jun 1, 2017 Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC Gastroenterology CurrentSince Jul 1, 2015 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1111 Montauk Hwy
#3
West Islip, NY 11795
Phone (631) 669-1171

1111 Montauk Hwy
Fl 3
West Islip, NY 11795
Phone (631) 376-0001

1111 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 669-1171

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jatallahvinograd840581@nychhc.direct-ci.com
  • Direct secure messaging: jeanatallah-vinograd@mai.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1942444393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352727",
            "telephone_number": "718-368-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352727",
            "telephone_number": "718-368-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLAH-VINOGRAD",
        "first_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "279300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.