NPIMap

Organization Active NPI

Avenue P Medical Services, PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1003138926
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
163630 Issued in NY
Legal business name
AVENUE P MEDICAL SERVICES, PC
Practice address
214 Avenue P
Brooklyn, NY 11204-6573
Phone
(212) 845-9255
Fax
(347) 602-4674
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Oleg Gutnik, MDNPI 1588739585
Title
Owner
Phone
(212) 845-9255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 163630 NY Primary

Addresses

Primary practice location

214 Avenue P
Brooklyn, NY 11204-6573

Mailing address

214 Avenue P
Brooklyn, NY 11204-6573
Phone (212) 845-9255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1003138926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046573",
            "telephone_number": "212-845-9255",
            "fax_number": "347-602-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046573",
            "telephone_number": "212-845-9255",
            "fax_number": "347-602-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE P MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "GUTNIK",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-845-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "163630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.