V Aleksandrovich Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

230654 Issued in NY

Legal business name

V ALEKSANDROVICH MEDICAL, PC

Practice address

2263 E 15TH St
Brooklyn, NY 11229-4316

Phone

(718) 373-2010

Fax

(718) 645-7288

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Viktoriya Aleksandrovich, MDNPI 1962573121

Title

Director

Phone

(718) 645-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Viktoriya Aleksandrovich, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1962573121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1114098373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SURF AVE",
            "address_2": "APT 9F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243550",
            "telephone_number": "718-373-2010",
            "fax_number": "718-645-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294316",
            "telephone_number": "718-373-2010",
            "fax_number": "718-645-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V ALEKSANDROVICH MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ALEKSANDROVICH",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-645-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 29, 2008; 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.