Crown Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

246144 Issued in NY

Legal business name

CROWN MEDICAL PC

Practice address

358 Kingston Ave
Brooklyn, NY 11213-4332

Phone

(718) 778-7272

Fax

(718) 773-4583

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hillel Isseroff, MD

Title

President

Phone

(718) 778-7272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eli Rosen MD PC Former legal business name

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1003978230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 KINGSTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134332",
            "telephone_number": "718-778-7272",
            "fax_number": "718-773-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 KINGSTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134332",
            "telephone_number": "718-778-7272",
            "fax_number": "718-773-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "ISSEROFF",
        "authorized_official_first_name": "HILLEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-778-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01859021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eli Rosen MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Crown Heights Medical Doctor PC
• Crown Heights P.T., O.T and SLP, PLLC
• Crown Heights Pharmacy Inc
• Crown Heights Pharmacy Inc
• Crown Heights Urgent Care
• Crown Medical Supply
• Crown Multi Educational Services
• Crown Multieducational Services
• Crown Nursing Home Associates Inc.
• Crown of Life Ny LLC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.