Organization Active NPI

Altair Medical PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1124290291
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
210050 Issued in NY
Legal business name
ALTAIR MEDICAL PC
Practice address
1115 Ocean Pkwy Ste 1
Brooklyn, NY 11230-4075
Phone
(718) 252-5300
NPI assigned
Mar 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Lennie Hobenson, D.O.
Title
Medical Director
Phone
(917) 705-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 210050 NY Primary

Addresses

Primary practice location

1115 Ocean Pkwy Ste 1
Brooklyn, NY 11230-4075

Mailing address

1615 Avenue I Apt 124
Brooklyn, NY 11230-3044
Phone (917) 705-4047

National Provider Directory

National Provider Directory

Locations

2114 Gravesend Neck Rd
Brooklyn, NY 11229
Phone (718) 769-9100

1115 Ocean Pkwy
Ste 1
Brooklyn, NY 11230
Phone (718) 252-5300

1115 Ocean Pkwy
#1
Brooklyn, NY 11230
Phone (646) 515-9968

Practitioners & affiliated clinicians

Practitioners 3

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": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1124290291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 AVENUE I APT 124",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303044",
            "telephone_number": "917-705-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OCEAN PKWY STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304075",
            "telephone_number": "718-252-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAIR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "HOBENSON",
        "authorized_official_first_name": "LENNIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-705-4047",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "210050",
            "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 22, 2023; 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.