Rutland Medical Plaza

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200487 Issued in NY

Legal business name

RUTLAND MEDICAL PLAZA

Practice address

887 Rutland Rd
Brooklyn, NY 11203

Phone

(718) 756-3918

Fax

(718) 756-1684

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter Okechukwu Eze

Title

Manager

Phone

(516) 652-6797

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Chinwe F Okonkwo, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1023038890
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1194746636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NORMAN CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465811",
            "telephone_number": "631-423-2397",
            "fax_number": "631-643-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 RUTLAND RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-756-3918",
            "fax_number": "718-756-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND MEDICAL PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "OKECHUKWU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-652-6797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jai Suzann Ruth
• Ruth'S Special Instruction Services, Inc
• Daniel David Rutimann, PH.D.
• Heather Ewan Rutka, M.S., CCC-SLP/TSHH
• Inna Rutkovska, PHARMACIST
• Rutland Nursing Home Inc
• Rutland Pharmacy LLC
• Rutledge Pediatrics
• Rutledge Pediatrics PLLC
• William Caleb Rutledge

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.