Active NPI
Mountview Medical PC
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1124593082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MOUNTVIEW MEDICAL PC
- Practice address
- 829 57TH St # 5
Brooklyn, NY 11220-3677 - Phone
- (718) 964-3930
- NPI assigned
- Oct 8, 2018
- 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
- Mellissa Gu
- Title
- Manager
- Phone
- (718) 964-3930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
829 57TH St # 5
Brooklyn, NY 11220-3677
Mailing address
829 57TH St # 5
Brooklyn, NY 11220-3677
Phone (718) 964-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
829 57th St
#5
Brooklyn, NY 11220
Phone (718) 375-3738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Edison, NJ
- NPI 1326060740
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538956800000",
"number": "1124593082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 57TH ST # 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203677",
"telephone_number": "718-964-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 57TH ST # 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203677",
"telephone_number": "718-964-3930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTVIEW MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A",
"authorized_official_last_name": "GU",
"authorized_official_first_name": "MELLISSA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-964-3930"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"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 Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.