Individual provider Active NPI

Ekaterina Hogan, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1982204905
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062408 Issued in NY
Practice address
200 W 15TH St # 1a
New York, NY 10011-6658
Phone
(646) 502-8416
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 062408 NY Primary

Addresses

Primary practice location

200 W 15TH St # 1a
New York, NY 10011-6658

Mailing address

200 W 15TH St # 1a
New York, NY 10011-6658
Phone (646) 502-8416

Other practice location 1

269 Amsterdam Ave
New York, NY 10023-2800
Phone (646) 759-0563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
062408NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Metro Dental PC CurrentSince Feb 25, 2024 Accepting new patients
Kaufman and Shmuely DDS, PC General Practice PastSince Feb 25, 2024 Accepting new patients

Locations

286 Madison Ave
Ste 500
New York, NY 10017
Phone (212) 682-2060

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1982204905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 15TH ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116658",
            "telephone_number": "646-502-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 15TH ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116658",
            "telephone_number": "646-502-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100232800",
            "country_code": "US",
            "telephone_number": "646-759-0563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "EKATERINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.