Organization Active NPI

Ez Mobile Testing Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1063715340
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EZ MOBILE TESTING INC
Practice address
1115 Ocean Pkwy
Level C
Brooklyn, NY 11230-4073
Phone
(718) 302-9642
Fax
(718) 302-4700
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Shulem Jacobowitz
Title
President
Phone
(718) 302-9642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1115 Ocean Pkwy
Level C
Brooklyn, NY 11230-4073

Mailing address

1115 Ocean Pkwy
Level C
Brooklyn, NY 11230-4073
Phone (718) 302-9642

National Provider Directory

National Provider Directory

Locations

1115 Ocean Pkwy
#C
Brooklyn, NY 11230
Phone (718) 302-9642

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1063715340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 OCEAN PKWY",
            "address_2": "LEVEL C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304073",
            "telephone_number": "718-302-9642",
            "fax_number": "718-302-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OCEAN PKWY",
            "address_2": "LEVEL C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304073",
            "telephone_number": "718-302-9642",
            "fax_number": "718-302-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ MOBILE TESTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "JACOBOWITZ",
        "authorized_official_first_name": "SHULEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-302-9642"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Dec 8, 2010; 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.