Ultimate Primary Care PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

238713 Issued in NY

Legal business name

ULTIMATE PRIMARY CARE PC

Practice address

9711 3Rd Ave
BSMT Level
Brooklyn, NY 11209-7702

Phone

(718) 833-4742

Fax

(718) 836-4629

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sally Abouel-Ela, M.D.

Title

Owner

Phone

(718) 833-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Wael Zakaria Eldarawy, M.D

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1437318730
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1194048058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532307",
            "telephone_number": "718-833-4742",
            "fax_number": "718-836-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 3RD AVE",
            "address_2": "BSMT LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097702",
            "telephone_number": "718-833-4742",
            "fax_number": "718-836-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "ABOUEL-ELA",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-833-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "238713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03080206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ultimate Billing Inc
• Ultimate Care, Inc.
• Ultimate Care, Inc.
• Ultimate Home Care
• Ultimate Medical Equipment Supplies
• Ultimate Services for You
• Ultimate Services for You
• Ultimate Steps Physical Therapy, PC
• Ultimate Vision Care Inc.
• Ultimate Vision LLC

• 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 Oct 19, 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.

Verify at the official NPI Registry.