Ibs Diagnostics & Physical Therapy PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

017736 Issued in NY

Legal business name

IBS DIAGNOSTICS & PHYSICAL THERAPY PC

Practice address

1833 E 13TH St
#Ca
Brooklyn, NY 11229-2894

Phone

(718) 627-3939

Fax

(718) 627-8737

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Renata Kulishova

Title

Office Manager

Phone

(718) 627-3939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boris Spector, MS, PT

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1326043142
  Medicare reassignment NPD

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1174063168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "#CA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292894",
            "telephone_number": "718-627-3939",
            "fax_number": "718-627-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "#CA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292894",
            "telephone_number": "718-627-3939",
            "fax_number": "718-627-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBS DIAGNOSTICS & PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "KULISHOVA",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-627-3939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "017736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherine Ibrahim, D.D.S.06
• Therese Ibrahim
• Zachary H Ibrahim, MD
• Leonora Ibrahimi
• Sabina Ibrahimli, MD
• Ishmam Ibtida, MD
• Olumide Ibukun, MD
• Ic Licensed Behavior Analysis PC
• Ic Optometry PC
• Ic Response Ny Inc

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.

Verify at the official NPI Registry.