Organization Active NPI

Eden Medical, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1194914879
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219013 Issued in NY
Legal business name
EDEN MEDICAL, P.C.
Practice address
2273 65TH St
Brooklyn, NY 11204-4001
Phone
(718) 236-4970
Fax
(718) 621-9302
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Luba Karlin, M.D.
Title
President
Phone
(201) 945-7949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 219013 NY Primary

Addresses

Primary practice location

2273 65TH St
Brooklyn, NY 11204-4001

Mailing address

250 Gorge Rd
Suite 27J
Cliffside Park, NJ 07010-1301
Phone (201) 945-7949

National Provider Directory

National Provider Directory

Locations

227 E 105th St
New York, NY 10029
Phone (347) 902-4699

Practitioners & affiliated clinicians

Practitioners 1

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1194914879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GORGE RD",
            "address_2": "SUITE 27J",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101301",
            "telephone_number": "201-945-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044001",
            "telephone_number": "718-236-4970",
            "fax_number": "718-621-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KARLIN",
        "authorized_official_first_name": "LUBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-945-7949",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219013",
            "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 Oct 18, 2007; 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.