209 Avenue P Medical,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

135903 Issued in NY

Legal business name

209 AVENUE P MEDICAL,PC

Practice address

209 Avenue P
Brooklyn, NY 11204-4903

Phone

(718) 259-6666

Fax

(718) 259-7000

NPI assigned

Aug 30, 2010

Last updated

Jan 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George L Adams, MDNPI 1992950786

Title

President

Phone

(718) 259-6666

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George L Adams, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1992950786
  NPD (past) Authorized official

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1124334008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044903",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "209 AVENUE P MEDICAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-259-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "135903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 20/20 Optical Boutique Inc.
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• 200 West Optics, LLC (MyEyeDr.)
• 2020 Optometry P.C.
• 209 Ave M Chemist LLC
• 21 Ave Pharmacy & Medical Supply Inc.
• 21 Ave Pharmacy & Medical Supply Inc.
• 2116 Kings Highway Gi PLLC
• 2196 Flatbush Pharmacy Inc.
• 21St Avenue Medical Plaza PC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.