Organization Active NPI

MC Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1114241189
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MC MEDICAL PC
Practice address
708 4TH Ave
Brooklyn, NY 11232-1205
Phone
(718) 832-1689
Fax
(718) 832-1686
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Dr. Nancy B Jean Marie, MD
Title
Owner
Phone
(718) 832-1689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

708 4TH Ave
Brooklyn, NY 11232-1205

Mailing address

708 4TH Ave
Brooklyn, NY 11232-1205
Phone (718) 832-1689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1114241189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321205",
            "telephone_number": "718-832-1689",
            "fax_number": "718-832-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321205",
            "telephone_number": "718-832-1689",
            "fax_number": "718-832-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "JEAN MARIE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-832-1689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family 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 Mar 19, 2010; 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.