Organization Active NPI

LK Dabiri Medical PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1053749333
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
268264 Issued in NY
Legal business name
LK DABIRI MEDICAL PC
Practice address
1220 E New York Ave
Brooklyn, NY 11212-3832
Phone
(347) 417-9733
Fax
(347) 627-6800
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
James K Irungu
Title
Credentialing
Phone
(678) 353-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 268264 NY Primary

Addresses

Primary practice location

1220 E New York Ave
Brooklyn, NY 11212-3832

Mailing address

1220 E New York Ave
Brooklyn, NY 11212-3832
Phone (347) 417-9733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1053749333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123832",
            "telephone_number": "347-417-9733",
            "fax_number": "347-627-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123832",
            "telephone_number": "347-417-9733",
            "fax_number": "347-627-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK DABIRI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "IRUNGU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "678-353-7073"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "268264",
            "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 Oct 23, 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.