Active NPI
Altair Medical PC
- Multi-Specialty Clinic/Center
- Brooklyn, NY
National Provider Identifier
1124290291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 210050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1083792782
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1043213440
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1578580585
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.