Brook Island Medical Associates, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BROOK ISLAND MEDICAL ASSOCIATES, PC

Practice address

2 Seaver Ave
Staten Island, NY 10306-2606

Phone

(718) 980-5888

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Chemo

Title

Credentialing Manger

Phone

(718) 605-2395

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194763672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SEAVER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062606",
            "telephone_number": "718-980-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SEAVER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062606",
            "telephone_number": "718-980-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK ISLAND MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHEMO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING MANGER",
        "authorized_official_telephone_number": "718-605-2395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Brodskaya, NP
• Joseph Anthony Brogna, D.C.
• Vincent J Broillet, MD
• Dmitri Broitman, B.S. PHARM.
• Alexandra Bronis
• Brookdale Hospital
• Brooklyn Consultants LLC
• Brooklyn Nuclear Spect Imaging, PC
• Brooklyn Physicians PC
• Golden Cheyenne Brooks, BSW

• Diagnostic Radiology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.