NPIMap

Organization Active NPI

Doctor on Wheels Medical PC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1124152129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DOCTOR ON WHEELS MEDICAL PC
Practice address
2005 Ocean Ave
Brooklyn, NY 11230-7335
Phone
(718) 787-0279
Fax
(718) 787-0270
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yury Zamdborg, MDNPI 1932112158
Title
Owner
Phone
(718) 375-8052

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2005 Ocean Ave
Brooklyn, NY 11230-7335

Mailing address

2005 Ocean Ave
Brooklyn, NY 11230-7335
Phone (718) 787-0279

National Provider Directory

National Provider Directory

Locations

2005 Ocean Ave
Ste 1A
Brooklyn, NY 11230
Phone (718) 375-8052

2005 Ocean Ave
Brooklyn, NY 11230
Phone (718) 375-8052

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124152129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307335",
            "telephone_number": "718-787-0279",
            "fax_number": "718-787-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307335",
            "telephone_number": "718-787-0279",
            "fax_number": "718-787-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR ON WHEELS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMDBORG",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-375-8052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Aug 22, 2020; 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.