Individual provider Active NPI

Hanieh Rokni

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1962112284
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029714 Issued in NY
Practice address
2797 Ocean Parkway
3Rd Floor
Brooklyn, NY 11235
Phone
(718) 615-4000
NPI assigned
Nov 28, 2022
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY
Physician Assistant 363A00000X 029714 NY Primary

Addresses

Primary practice location

2797 Ocean Parkway
3Rd Floor
Brooklyn, NY 11235

Mailing address

2797 Ocean Pkwy
Brooklyn, NY 11235-7870

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402000955 NY Practitioner - Physician Assistant 7517305105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tatiana Khrom MD PCGroup PAC ID 1557368859, 10 clinicians

Practice addresses (Care Compare)

239 Court St
Brooklyn, NY 11201-6592
Phone (718) 615-4000

2797 Ocean Pkwy
Suite 3
Brooklyn, NY 11235-7868
Phone (718) 615-4000

8421 Bay Pkwy
Brooklyn, NY 11214-3303
Phone (718) 615-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Gastroenterology, P.C. CurrentSince Dec 1, 2024 Accepting new patients
Bobby Buka, M.D., P.C. PastSince Jan 1, 2023 Accepting new patients

Locations

2797 Ocean Pkwy
Ste 3
Brooklyn, NY 11235
Phone (718) 615-4000

8421 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 615-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1962112284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 OCEAN PARKWAY",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-615-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKNI",
        "first_name": "HANIEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.