Flatbush Medical Plaza, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

218261 Issued in NY

Legal business name

FLATBUSH MEDICAL PLAZA, P.C.

Practice address

1468 Flatbush Ave.
Brooklyn, NY 11210

Phone

(917) 966-2700

Fax

(917) 966-2703

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Grigory Shtender, PHYSICIAN

Title

President

Phone

(917) 966-2700

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1003225038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 FLATBUSH AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "917-966-2700",
            "fax_number": "917-966-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 FLATBUSH AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "917-966-2700",
            "fax_number": "917-966-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH MEDICAL PLAZA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "SHTENDER",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-966-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "218261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "218261",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02090619",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "25MA07870200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flatbush Family Medicine, P.C.
• Flatbush Health Art Medical P.C.
• Flatbush Medical Care PC
• Flatbush Medical Heights Services P.C.
• Flatbush Medical PC
• Flatbush Medical Services P.C.
• Flatbush Optical of Starrette City
• Flatbush Optimetric PC
• Flatbush Pharmacy Inc
• Flatbush Pharmacy RX Inc

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.