Active NPI
Nesa Medical Care PC
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
National Provider Identifier
1104415959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- NESA MEDICAL CARE PC
- Practice address
- 2266 Cropsey Ave
Brooklyn, NY 11214-5706 - Phone
- (347) 543-8487
- NPI assigned
- Jan 15, 2021
- 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. Mushammat J Nesa, MD
- Title
- Owner
- Phone
- (347) 543-8487
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
2266 Cropsey Ave
Brooklyn, NY 11214-5706
Mailing address
2952 Brighton 3Rd St Ste 201
Brooklyn, NY 11235-7078
Phone (718) 975-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1821256819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610668800000",
"number": "1104415959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2952 BRIGHTON 3RD ST STE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357078",
"telephone_number": "718-975-4334",
"fax_number": "718-975-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2266 CROPSEY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145706",
"telephone_number": "347-543-8487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NESA MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A",
"authorized_official_last_name": "NESA",
"authorized_official_first_name": "MUSHAMMAT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-543-8487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"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 Jan 15, 2021; 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.