NPIMap

Organization Active NPI

Exclusive Family Medical Care PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1013085166
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
214845 Issued in NY
Legal business name
EXCLUSIVE FAMILY MEDICAL CARE PC
Practice address
2431 86TH St
Brooklyn, NY 11214-4448
Phone
(718) 265-2424
Fax
(718) 265-2424
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Konstantin Pertsovsky, DO
Title
Medical Director
Phone
(718) 372-8347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 214845 NY Primary

Addresses

Primary practice location

2431 86TH St
Brooklyn, NY 11214-4448

Mailing address

2431 86TH St
Brooklyn, NY 11214-4448
Phone (718) 265-2424

National Provider Directory

National Provider Directory

Locations

2952 Brighton 3rd St
Ste 202
Brooklyn, NY 11235
Phone (718) 676-1768

2431 86th St
Brooklyn, NY 11214
Phone (718) 372-9300

Practitioners & affiliated clinicians

Practitioners 9

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1013085166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144448",
            "telephone_number": "718-265-2424",
            "fax_number": "718-265-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144448",
            "telephone_number": "718-265-2424",
            "fax_number": "718-265-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE FAMILY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "PERTSOVSKY",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-372-8347",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "214845",
            "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 Jun 17, 2009; 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.