Organization Active NPI

Family Madical Practice P.C.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1235229667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
141141 Issued in NY
Legal business name
FAMILY MADICAL PRACTICE P.C.
Practice address
255 Eastern Pkwy
Brooklyn, NY 11238-6370
Phone
(718) 636-8291
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jean Claude Compas, MDNPI 1720178148
Title
Medical Director
Phone
(718) 636-8291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 141141 NY Primary

Addresses

Primary practice location

255 Eastern Pkwy
Brooklyn, NY 11238-6370

Mailing address

255 Eastern Pkwy
Brooklyn, NY 11238-6370
Phone (718) 636-8291

Other identifiers 1

IdentifierTypeStateIssuer
00710494MedicaidNY

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.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235229667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386370",
            "telephone_number": "718-636-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386370",
            "telephone_number": "718-636-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MADICAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMPAS",
        "authorized_official_first_name": "JEAN CLAUDE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-636-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "141141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00710494",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.