NPIMap

Organization Active NPI

Brighton Medical Care PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1215254933
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
255032 Issued in NY
Legal business name
BRIGHTON MEDICAL CARE PLLC
Practice address
1130 Brighton Beach Ave
Suite 1CC
Brooklyn, NY 11235-5572
Phone
(347) 492-4515
Fax
(347) 492-4514
NPI assigned
Apr 21, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Yakov SharovNPI 1780912956
Title
Medical Director
Phone
(347) 492-4515

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 255032 NY Primary

Addresses

Primary practice location

1130 Brighton Beach Ave
Suite 1CC
Brooklyn, NY 11235-5572

Mailing address

1130 Brighton Beach Ave
Suite 1CC
Brooklyn, NY 11235-5572
Phone (347) 492-4515

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1215254933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BRIGHTON BEACH AVE",
            "address_2": "SUITE 1CC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355572",
            "telephone_number": "347-492-4515",
            "fax_number": "347-492-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BRIGHTON BEACH AVE",
            "address_2": "SUITE 1CC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355572",
            "telephone_number": "347-492-4515",
            "fax_number": "347-492-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "SHAROV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-492-4515",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "255032",
            "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 Apr 21, 2010; 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.