87 Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A188292 Issued in NY

Legal business name

87 MEDICAL PC

Practice address

8717 21St Ave
Brooklyn, NY 11214-4951

Phone

(718) 372-3150

Fax

(718) 372-3150

NPI assigned

Jun 24, 2009

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Wong, MD

Title

Owner

Phone

(516) 385-1525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1114155546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 21ST AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144951",
            "telephone_number": "718-372-3150",
            "fax_number": "718-372-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 21ST AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144951",
            "telephone_number": "718-372-3150",
            "fax_number": "718-372-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "87 MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-385-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "A188292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.