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ORIGINAL CARE MEDICAL PC
NPI 1508133232
Clinic/Center - Medical Specialty in Brooklyn, NY

Active since November 23, 2011
333 GREENE AVE, BROOKLYN, NY 11238(718) 758-5777(888) 887-9723 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Original Care Medical Pc NPPES

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

ORIGINAL CARE MEDICAL PC (NPI 1508133232) is a healthcare organization registered as a medical specialty in Brooklyn, New York and active in the NPI registry since November 2011. The organization lists Anna Kogan, President, as its authorized official.

NPPES Registry Identity

NPI1508133232
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameORIGINAL CARE MEDICAL PC
Location Address333 GREENE AVEBrooklyn, NY 11238-2295
Mailing Address333 Greene AveBrooklyn, NY 11238-2295 · (718) 758-5777 · Fax (888) 887-9723
Phone(718) 758-5777
Fax(888) 887-9723
Organization SubpartNo
Authorized OfficialAnna KoganPresident · (718) 775-5960
Enumeration DateNovember 23, 2011
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1508133232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 259336
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
333 GREENE AVE, Brooklyn, NY 11238
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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)

Original Care Medical 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 IDO20120221000096Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Original Care Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anna Kogan, MD
Neurology
NPI 1326208166
333 GREENE AVE
Brooklyn, NY 11238
(718) 758-5777
✔ 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 Original Care Medical PC's NPI number?

The NPI number for Original Care Medical PC is 1508133232. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Original Care Medical PC located?

Original Care Medical PC is located at 333 Greene Ave, Brooklyn, NY 11238. The listed phone number is (718) 758-5777.

What is Original Care Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Original Care Medical PC enrolled in Medicare?

Yes. Original Care Medical PC is registered in the Medicare PECOS enrollment system.

When is Original Care Medical 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 Original Care Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Original Care Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Original Care Medical PC was last updated on April 23, 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.