Organization Active NPI

Have Doctor Will Travel Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1205340502
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
159200 Issued in NY
Legal business name
HAVE DOCTOR WILL TRAVEL MEDICAL PC
Practice address
1797 Coney Island Ave FL 2
Brooklyn, NY 11230-6501
Phone
(718) 407-7300
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Eli Inzlicht-Sprei
Title
PA
Phone
(718) 375-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 159200 NY Primary

Addresses

Primary practice location

1797 Coney Island Ave FL 2
Brooklyn, NY 11230-6501

Mailing address

1573 E 22ND St
Brooklyn, NY 11210-5109

National Provider Directory

National Provider Directory

Locations

1797 Coney Island Ave
Fl 2
Brooklyn, NY 11230
Phone (718) 407-7300

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1205340502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306501",
            "telephone_number": "718-407-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVE DOCTOR WILL TRAVEL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "INZLICHT-SPREI",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "718-375-6370"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "159200",
            "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 Jul 13, 2023; 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.