Active NPI
Visavis Health Care Medical Group of Ny, PLLC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1194350066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VISAVIS HEALTH CARE MEDICAL GROUP OF NY, PLLC
- Practice address
- 1481 McDonald Ave
Brooklyn, NY 11230-4667 - Phone
- (929) 491-7333
- NPI assigned
- Mar 11, 2020
- 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
- Yitty Falkowitz
- Title
- Manager
- Phone
- (212) 734-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1481 McDonald Ave
Brooklyn, NY 11230-4667
Mailing address
3923 Fort Hamilton Parkway
Brooklyn, NY 11218-1916
Phone (212) 734-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200423001785 | NY | Part B Supplier - Clinic/Group Practice | 3870923519 |
Receives reassigned benefits from 34 practitioners Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
3923 Fort Hamilton Pkwy
Fl 2
Brooklyn, NY 11218
1449 37th St
Ste 216
Brooklyn, NY 11218
1449 37th St
Brooklyn, NY 11218
Phone (631) 530-2954
385 Seneca Ave
#13292
Ridgewood, NY 11385
Phone (201) 843-7574
Practitioners & affiliated clinicians
Practitioners 36
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1194350066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 FORT HAMILTON PARKWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181916",
"telephone_number": "212-734-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 MCDONALD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304667",
"telephone_number": "929-491-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISAVIS HEALTH CARE MEDICAL GROUP OF NY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "FALKOWITZ",
"authorized_official_first_name": "YITTY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"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 Aug 22, 2023; 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.