Organization Active NPI

Ocean Medical Plaza P.C.

  • Ph.D. Medical Genetics
  • Brooklyn, NY
National Provider Identifier
1093758336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
OCEAN MEDICAL PLAZA P.C.
Practice address
1724-1726 Ocean Ave
BSMT
Brooklyn, NY 11230-5401
Phone
(718) 258-2200
Fax
(718) 258-2756
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ilya Smuglin
Title
President
Phone
(718) 258-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

1724-1726 Ocean Ave
BSMT
Brooklyn, NY 11230-5401

Mailing address

1724-1726 Ocean Ave
BSMT
Brooklyn, NY 11230-5401
Phone (718) 258-2200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093758336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724-1726 OCEAN AVE",
            "address_2": "BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305401",
            "telephone_number": "718-258-2200",
            "fax_number": "718-258-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724-1726 OCEAN AVE",
            "address_2": "BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305401",
            "telephone_number": "718-258-2200",
            "fax_number": "718-258-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN MEDICAL PLAZA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMUGLIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-258-2200"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "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 Aug 22, 2020; 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.