Active NPI
Huang Medical Care P.C.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1194367748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HUANG MEDICAL CARE P.C.
- Practice address
- 4620 3Rd Ave
Brooklyn, NY 11220-1034 - Phone
- (201) 641-2125
- Fax
- (201) 630-8831
- NPI assigned
- Oct 15, 2019
- 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
- Rose Velasquez
- Title
- Administrator
- Phone
- (201) 641-2125
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Adult Congenital Heart Disease Physician | 207RA0002X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Imaging & Therapy Physician | 207UN0902X |
Addresses
Primary practice location
4620 3Rd Ave
Brooklyn, NY 11220-1034
Mailing address
560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Phone (201) 641-2125
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rose@baysrvpbilling.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2179502 | Huang Medical Care PC | Certificate of waiver | Feb 24, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Elmhurst, NY
- NPI 1093967184
Adult Congenital Heart Disease
-
- Physician Assistant
- Brooklyn, NY
- NPI 1114166980
-
- Physician Assistant
- Brooklyn, NY
- NPI 1831993815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571097600000",
"number": "1194367748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 HUDSON ST STE 301",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016655",
"telephone_number": "201-641-2125",
"fax_number": "201-630-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201034",
"telephone_number": "201-641-2125",
"fax_number": "201-630-8831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUANG MEDICAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A",
"authorized_official_last_name": "VELASQUEZ",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-641-2125"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Adult Congenital Heart Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rose@baysrvpbilling.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4620 3rd Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112201034",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.