DQM Medical PC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

282619 Issued in NY

Legal business name

DQM MEDICAL PC

Practice address

829 57TH St FL 5
Brooklyn, NY 11220-3677

Phone

(718) 964-3930

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

David Mao, MD

Title

President

Phone

(718) 690-1574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537056000000",
    "number": "1013402155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 57TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-964-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 57TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-964-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DQM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-09-16",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-690-1574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NY",
            "license": "282619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Doyle, LMSW
• Kendell Marilyn Doyle, PHD
• Shawn Doyley
• Britknee Dozier
• Blair Kaylin Dozois, MD
• Dr a Abakin DC PC
• Dr Aaron Mandel
• Dr Al Adams DPM LLC
• Dr Amy Glaser Dr Philippa Gordon
• Dr Anming Luo Physician PC

• PACE Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• PACE Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2018; 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.