Organization Active NPI

MMC OB-GYN Faculty Practice Plan

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1053558221
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MMC OB-GYN FACULTY PRACTICE PLAN
Practice address
6208 4TH Ave
Brooklyn, NY 11220-4616
Phone
(718) 283-3000
Fax
(718) 635-6866
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Victoria Falcone
Title
Business Manager
Phone
(718) 283-8864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6208 4TH Ave
Brooklyn, NY 11220-4616

Mailing address

967 48TH St
Brooklyn, NY 11219-2919
Phone (718) 283-8864

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Heights Women's Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1053558221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192919",
            "telephone_number": "718-283-8864",
            "fax_number": "718-283-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204616",
            "telephone_number": "718-283-3000",
            "fax_number": "718-635-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC OB-GYN FACULTY PRACTICE PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "FALCONE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "718-283-8864"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Feb 20, 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.