NPIMap

Organization Active NPI

Precision Care Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1073069670
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PRECISION CARE MEDICAL PC
Practice address
2781 Shell Rd Ste 101
Brooklyn, NY 11223-6142
Phone
(718) 648-1234
Fax
(718) 648-1239
NPI assigned
Sep 1, 2016
Last updated
Oct 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Vadim ZarubinNPI 1790188050
Title
MD
Phone
(718) 648-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2781 Shell Rd Ste 101
Brooklyn, NY 11223-6142

Mailing address

2781 Shell Rd Ste 101
Brooklyn, NY 11223-6142
Phone (718) 648-1234

Other practice location 1

150 E 55th St Ste 401
New York, NY 10022-4514
Phone (718) 648-1234

Other practice location 2

2781 Shell road
Brooklyn, NY 11223-6142
Phone (646) 404-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109000752 NY Part B Supplier - Clinic/Group Practice 6901185214 Receives reassigned benefits from 18 practitioners
Practice locations: Staten Island, NY; New York, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2560 Ocean Ave
Ste B201
Brooklyn, NY 11229
Phone (718) 615-4100

2781 Shell Rd
Brooklyn, NY 11223
Phone (646) 404-2024

1630 Richmond Rd
Staten Island, NY 10304
Phone (718) 339-7100

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1073069670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 SHELL RD STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236142",
            "telephone_number": "718-648-1234",
            "fax_number": "718-648-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 SHELL RD STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236142",
            "telephone_number": "718-648-1234",
            "fax_number": "718-648-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E 55th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224514",
            "country_code": "US",
            "telephone_number": "718-648-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2781 Shell road",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112236142",
            "country_code": "US",
            "telephone_number": "646-404-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "ZARUBIN",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-648-1234"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.