Suite 69 Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUITE 69 MEDICAL PC

Doing business as

MINDCORE

Practice address

275 9TH St Ste 69
Brooklyn, NY 11215-4457

Phone

(347) 404-6508

NPI assigned

Dec 27, 2024

Organization subpart

No

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

Authorized official

Name

Terry-Jan Blackett-Bonnett, MDNPI 1568689099

Title

Authorized Official

Phone

(347) 404-6508

Specialties & licenses 1

Addresses

Other names 1

• MINDCORE Doing business as

Locations

Practitioners 3

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

• Terry-Jan Blackett-Bonnett, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568689099
  NPD Authorized official
• Mian A. Siddique, M.D

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1760457188
  NPD
• Gabriella Francesca Greco, D.O.

  • Psychiatry Physician
  • Windsor, CT
  • NPI 1972768604
  NPD

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1104634773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 9TH ST STE 69",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 9TH ST STE 69",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154457",
            "telephone_number": "347-404-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITE 69 MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BLACKETT-BONNETT",
        "authorized_official_first_name": "TERRY-JAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "347-404-6508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINDCORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willie Suh, PH
• Randa Suher, LCSW
• Robert A Suher, PH.D.
• Nataly Suhostavska, PT
• Vyacheslav Suhostavskiy, OTR/L
• Cheree Suk
• Maggie Sukenick, LMSW
• Susan Eve Sukenik, LCSW
• Prashant Sukhani
• Boris Sukharlev, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.