Imelda a. Carin, MD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

14973-1 Issued in NY

Legal business name

IMELDA A. CARIN, MD

Practice address

302 Broadway
Brooklyn, NY 11211-7308

Phone

(718) 384-0010

Fax

(718) 599-4632

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Imelda Alonso Carin, M.D.

Title

Owner

Phone

(718) 384-0010

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1003238379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117308",
            "telephone_number": "718-384-0010",
            "fax_number": "718-599-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117308",
            "telephone_number": "718-384-0010",
            "fax_number": "718-599-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMELDA A. CARIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "CARIN",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "ALONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-384-0010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "14973-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhabbat Imamova
• Mazal Imani
• Daniel Michael Imas, MD
• Ernest Imatdinov, PHARM.D
• Erica M Imbert
• Imelda a. Carin, MD, PA
• Imglobal Inc
• Mihrensa Iminova
• Andre Daniel Immanuel, MD
• Immediate Care Medical Walk-in of Bensonhurst, PC

• Health Maintenance Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.