Prospect Medical Care of New York, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROSPECT MEDICAL CARE OF NEW YORK, P.C.

Practice address

1911 Church Ave FL 2
Brooklyn, NY 11226-3707

Phone

(718) 938-3404

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Daniel Roberts, M.D.

Title

President

Phone

(718) 938-3404

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1083961734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 CHURCH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263707",
            "telephone_number": "718-938-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CHURCH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263707",
            "telephone_number": "718-938-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT MEDICAL CARE OF NEW YORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-938-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Gardens Pharmacy Inc.
• Prospect Heights Cardiology PLLC
• Prospect Hills Medical Care PLLC
• Prospect Kids, LLC
• Prospect Lefferts Gardens Medical PC
• Prospect Medical Group
• Prospect Park Medical Plaza PC
• Prospect Park Nursing Home
• Prospect Park Operating, LLC
• Prospect Park Psychiatry PLLC

• All providers in Brooklyn, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.