Active NPI
Ocean Parkway Medical Care PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1144265836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 163002-1
- Legal business name
- OCEAN PARKWAY MEDICAL CARE PC
- Practice address
- 2797 Ocean Pkwy
Brooklyn, NY 11235-7861 - Phone
- (718) 743-7090
- NPI assigned
- Jun 18, 2006
- Last updated
- Feb 4, 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
- David Khasidy, M.D.
- Title
- President
- Phone
- (718) 743-7090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 163002-1 | NY | Primary |
Addresses
Primary practice location
2797 Ocean Pkwy
Brooklyn, NY 11235-7861
Mailing address
2797 Ocean Pkwy
Brooklyn, NY 11235-7861
Phone (718) 743-7090
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1417995358
-
- Physical Therapist
- Woodside, NY
- NPI 1972819241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202083200000",
"number": "1144265836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2797 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357861",
"telephone_number": "718-743-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2797 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357861",
"telephone_number": "718-743-7090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN PARKWAY MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2008-02-04",
"status": "A",
"authorized_official_last_name": "KHASIDY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-743-7090",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "163002-1",
"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 Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.