Organization Active NPI

RDS Medical P.C.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1003275975
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223135 Issued in NY
Legal business name
RDS MEDICAL P.C.
Practice address
7510 4TH Ave
Ste 5
Brooklyn, NY 11209-3244
Phone
(718) 836-0761
Fax
(718) 836-7369
NPI assigned
Feb 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Oscar Varshavskiy
Title
Owner
Phone
(718) 836-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 223135 NY Primary

Addresses

Primary practice location

7510 4TH Ave
Ste 5
Brooklyn, NY 11209-3244

Mailing address

7510 4TH Ave
Ste 5
Brooklyn, NY 11209-3244
Phone (718) 836-0761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323000915 NY Part B Supplier - Clinic/Group Practice 6204133960 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

7510 4th Ave
Ste 5
Brooklyn, NY 11209
Phone (718) 836-0761

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": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1003275975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE",
            "address_2": "STE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093244",
            "telephone_number": "718-836-0761",
            "fax_number": "718-836-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE",
            "address_2": "STE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093244",
            "telephone_number": "718-836-0761",
            "fax_number": "718-836-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDS MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "VARSHAVSKIY",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-836-0761",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223135",
            "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 Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.