NPIMap

Organization Active NPI

Central Brooklyn Medical Group

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013080126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239419-1 Issued in NY
Legal business name
CENTRAL BROOKLYN MEDICAL GROUP
Practice address
2832 Linden Blvd
Brooklyn, NY 11208-5132
Phone
(718) 240-2000
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lucille Mazza
Title
Asst Coo
Phone
(718) 403-3519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 239419-1 NY Primary

Addresses

Primary practice location

2832 Linden Blvd
Brooklyn, NY 11208-5132

Mailing address

345 Schermerhorn St
Brooklyn, NY 11217-1025
Phone (718) 403-3519

National Provider Directory

National Provider Directory
Tax ID family
Central Brooklyn Medical Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013080126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SCHERMERHORN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171025",
            "telephone_number": "718-403-3519",
            "fax_number": "718-403-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085132",
            "telephone_number": "718-240-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BROOKLYN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "ASST COO",
        "authorized_official_telephone_number": "718-403-3519"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239419-1",
            "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 Aug 22, 2020; 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.