Active NPI
Nina Kushner Medical PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1215095823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NINA KUSHNER MEDICAL PC
- Practice address
- 4513 14TH Ave
Brooklyn, NY 11219-2107 - Phone
- (718) 633-9191
- Fax
- (718) 633-6661
- NPI assigned
- Dec 5, 2006
- Last updated
- Jan 11, 2008
- 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
- Nina Kushner, MD
- Title
- Owner
- Phone
- (718) 633-9191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
4513 14TH Ave
Brooklyn, NY 11219-2107
Mailing address
4513 14TH Ave
Brooklyn, NY 11219-2107
Phone (718) 633-9191
National Provider Directory
National Provider DirectoryLocations
4513 14th Ave
Brooklyn, NY 11219
Phone (718) 633-9191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1104801091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1215095823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 14TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192107",
"telephone_number": "718-633-9191",
"fax_number": "718-633-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 14TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192107",
"telephone_number": "718-633-9191",
"fax_number": "718-633-6661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NINA KUSHNER MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "KUSHNER",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-633-9191",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"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 Jan 11, 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.