Active NPI
Prime Medcare
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1124333885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRIME MEDCARE
- Practice address
- 295 Ralph Ave
Brooklyn, NY 11233-2206 - Phone
- (718) 604-0717
- Fax
- (718) 604-0718
- NPI assigned
- Aug 18, 2010
- 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
- Pervez Qureshi, M.D.
- Title
- Physician
- Phone
- (347) 242-6261
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
295 Ralph Ave
Brooklyn, NY 11233-2206
Mailing address
295 Ralph Ave
Brooklyn, NY 11233-2206
Phone (718) 604-0717
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/ICCDBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1033214317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1124333885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112332206",
"telephone_number": "718-604-0717",
"fax_number": "718-604-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112332206",
"telephone_number": "718-604-0717",
"fax_number": "718-604-0718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MEDCARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "QURESHI",
"authorized_official_first_name": "PERVEZ",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "347-242-6261",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"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 18, 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.