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ADVANCED OB/GYN, PC
NPI 1356634554
Obstetrics & Gynecology in Brooklyn, NY

Active since May 20, 2011
1725 E 12TH ST, #301, BROOKLYN, NY 11229(718) 336-1909(718) 336-1929 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Ob/gyn, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED OB/GYN, PC (NPI 1356634554) is a healthcare organization registered as an obstetrics & gynecology in Brooklyn, New York and active in the NPI registry since May 2011. The organization lists Kamila Agayava, Owner, as its authorized official.

NPPES Registry Identity

NPI1356634554
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameADVANCED OB/GYN, PC
Location Address1725 E 12TH ST, #301Brooklyn, NY 11229-1028
Mailing Address1725 E 12th St, Suite 301Brooklyn, NY 11229-1028 · (718) 336-1909 · Fax (718) 336-1929
Phone(718) 336-1909
Fax(718) 336-1929
Organization SubpartNo
Authorized OfficialKamila AgayavaOwner · (718) 336-1909
Enumeration DateMay 20, 2011
Last NPPES UpdateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1356634554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NY · 226831✔ Licensed in NY · 238834
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1725 E 12TH ST, Brooklyn, NY 11229
Open in Google Maps ↗

Other Identifiers 1

Other1457364804NY · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Ob/gyn, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120820000351Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Ob/Gyn, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kamila Agayeva, M.D
Obstetrics/Gynecology
NPI 1457364804
1725 E 12TH ST SUITE # 301
Brooklyn, NY 11229
(718) 336-1909
✔ PECOS✔ Accepts MedicareSame address
Hayama Brill, M.D.
Obstetrics/Gynecology
NPI 1831397082
1725 E 12TH ST SUITE # 301
Brooklyn, NY 11229
(718) 336-1909
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Ob/Gyn, PC's NPI number?

The NPI number for Advanced Ob/Gyn, PC is 1356634554. It was assigned to this organization in the NPPES registry on May 20, 2011.

Where is Advanced Ob/Gyn, PC located?

Advanced Ob/Gyn, PC is located at 1725 E 12th St #301, Brooklyn, NY 11229. The listed phone number is (718) 336-1909.

What is Advanced Ob/Gyn, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Advanced Ob/Gyn, PC enrolled in Medicare?

Yes. Advanced Ob/Gyn, PC is registered in the Medicare PECOS enrollment system.

When is Advanced Ob/Gyn, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Ob/Gyn, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Advanced Ob/Gyn, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Ob/Gyn, PC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.