Organization Active NPI

Dental & Family Medical Center

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1013096767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
192901 Issued in NY
Legal business name
DENTAL & FAMILY MEDICAL CENTER
Practice address
1507 Dekalb Ave
Brooklyn, NY 11237-3634
Phone
(718) 417-4769
NPI assigned
Nov 3, 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
Dr. Jean E. Rameau, MD
Title
Pediatrician
Phone
(718) 417-1469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 192901 NY Primary

Addresses

Primary practice location

1507 Dekalb Ave
Brooklyn, NY 11237-3634

Mailing address

76 Sunnyside LN
Westbury, NY 11590-2823
Phone (516) 338-1701

National Provider Directory

National Provider Directory

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013096767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUNNYSIDE LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902823",
            "telephone_number": "516-338-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373634",
            "telephone_number": "718-417-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL & FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMEAU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "718-417-1469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "192901",
            "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.