Williamsburg Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

215832 Issued in NY

Legal business name

WILLIAMSBURG MEDICAL CARE PC

Practice address

155 Powers St
Brooklyn, NY 11211-4973

Phone

(718) 302-2126

Fax

(718) 392-2128

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Javier Chacon, MDNPI 1154383008

Title

Owner

Phone

(718) 302-2126

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier Chacon, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1154383008
  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1053582999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POWERS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114973",
            "telephone_number": "718-302-2126",
            "fax_number": "718-392-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POWERS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114973",
            "telephone_number": "718-302-2126",
            "fax_number": "718-392-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-302-2126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215832",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225308",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Community Pharmacy Inc
• Williamsburg Dental PLLC
• Williamsburg Infant & Early Childhood Development Center, Inc.
• Williamsburg Infant & Early Childhood Development Center, Inc.
• Williamsburg Infant and Early Childhood Development Center
• Williamsburg Medical Imaging, PC
• Williamsburg Medical Plaza PC
• Williamsburg Nurse Practitioner in Psychiatry and Family Health PLLC
• Williamsburg Outreach Inc
• Williamsburg Pediatrics, PC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.