Active NPI
Comprehensive Medical Care at 3Rd Avenue PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1104274901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 213773-1
- Legal business name
- COMPREHENSIVE MEDICAL CARE AT 3RD AVENUE PC
- Practice address
- 4620 3Rd Ave
First Floor
Brooklyn, NY 11220-1034 - Phone
- (718) 492-4109
- Fax
- (201) 221-8255
- NPI assigned
- Jun 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson Radhames Pichardo, MD
- Title
- President
- Phone
- (718) 492-4109
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 213773-1 | NY | |
| Internal Medicine Physician | 207R00000X | 213773-1 | NY | Primary |
Addresses
Primary practice location
4620 3Rd Ave
First Floor
Brooklyn, NY 11220-1034
Mailing address
4620 3Rd Ave
First Floor
Brooklyn, NY 11220-1034
Phone (718) 492-4109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4620 3rd Ave
#1
Brooklyn, NY 11220
Phone (718) 492-4109
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Union City, NJ
- NPI 1902835747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464825600000",
"number": "1104274901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 3RD AVE",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201034",
"telephone_number": "718-492-4109",
"fax_number": "201-221-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 3RD AVE",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201034",
"telephone_number": "718-492-4109",
"fax_number": "201-221-8255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MEDICAL CARE AT 3RD AVENUE PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A",
"authorized_official_last_name": "PICHARDO",
"authorized_official_first_name": "NELSON",
"authorized_official_middle_name": "RADHAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-492-4109",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "213773-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "213773-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Comprehensive Health Care and Rehabilitation Services, LLC
- Comprehensive Health Services
- Comprehensive Integrated Support Services LLC
- Comprehensive Medical & Diagnostic Care PC
- Comprehensive Medical Arts PC
- Comprehensive Medical Care Service, PLLC
- Comprehensive Medical Diagnostic, PC
- Comprehensive Medical Wound Care PLLC
- Comprehensive Neurology PC
- Comprehensive Pain Management-Anesthesia Services, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.