Kings Medical Suite, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

AAAASF # 3833 Issued in NY

Legal business name

KINGS MEDICAL SUITE, PC

Practice address

1725 E 12TH St Ste 301
Brooklyn, NY 11229-1068

Phone

(718) 336-1909

Fax

(718) 336-1929

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kamila Agayeva, M.D.NPI 1457364804

Title

Medical Director

Phone

(718) 336-1909

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamila Agayeva, M.D

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1457364804
  Authorized official Same address or phone

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1033551932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST STE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291068",
            "telephone_number": "718-336-1909",
            "fax_number": "718-336-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST STE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291068",
            "telephone_number": "718-336-1909",
            "fax_number": "718-336-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS MEDICAL SUITE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "AGAYEVA",
        "authorized_official_first_name": "KAMILA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-336-1909",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "AAAASF # 3833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC..",
            "identifier": "CERT # 3833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kings Medical Group PC
• Kings Medical Ny PC
• Kings Medical PC
• Kings Medical Services PC
• Kings Medical Services PC
• Kings Neurology, PC
• Kings Pharmacy Inc (New York Ave Pharmacy)
• Kings Physician Services, PC
• Kings Physician Services, PC (Kings Emergency Physician Services)
• Kings Plaza Dental PC

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.