NPIMap

Organization Active NPI

Team Care Medical PLLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1093531691
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TEAM CARE MEDICAL PLLC
Practice address
596 Prospect PL
Brooklyn, NY 11238-4205
Phone
(833) 252-2737
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Victor Hormaza
Title
VP of Revenue and Finance Operation
Phone
(929) 837-1601

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

596 Prospect PL
Brooklyn, NY 11238-4205

Mailing address

13665 37TH Ave
Flushing, NY 11354-4110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250217001552 NY Part B Supplier - Clinic/Group Practice 9133659428 Receives reassigned benefits from 36 practitioners
Practice locations: Brooklyn, NY; White Plains, NY; Ridgewood, NY; New York, NY; Hempstead, NY; Flushing, NY; Bronx, NY; Amityville, NY

National Provider Directory

National Provider Directory

Locations

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

205 Rockaway Pkwy
Brooklyn, NY 11212
Phone (646) 428-0400

250 Fulton Ave
Ste 121
Hempstead, NY 11550

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1093531691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13665 37TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384205",
            "telephone_number": "833-252-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM CARE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "HORMAZA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "VP OF REVENUE AND FINANCE OPERATION",
        "authorized_official_telephone_number": "929-837-1601"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Nov 14, 2025; 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.