Organization Active NPI

David Minzer, DO , PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1235587056
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVID MINZER, DO , PLLC
Practice address
3410 Avenue P
Brooklyn, NY 11234-3441
Phone
(347) 618-9840
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Jenny Rubin
Title
Billing Manager
Phone
(718) 926-3804

Specialties & licenses 1

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

Addresses

Primary practice location

3410 Avenue P
Brooklyn, NY 11234-3441

Mailing address

3410 Avenue P
Brooklyn, NY 11234-3441
Phone (347) 618-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160726001632 NY Part B Supplier - Clinic/Group Practice 0749573947 Receives reassigned benefits from 1 practitioner
Practice locations: Center Moriches, NY; Wappingers Falls, NY; Wappinger Falls, NY; Utica, NY; Ticonderoga, NY; Swan Lake, NY; Rome, NY; Queensbury, NY…

National Provider Directory

National Provider Directory

Locations

201 S Melcher St
Johnstown, NY 12095
Phone (518) 762-5488

208 State Route 88 S
Newark, NY 14513

Practitioners & affiliated clinicians

Practitioners 2

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": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1235587056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343441",
            "telephone_number": "347-618-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343441",
            "telephone_number": "347-618-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MINZER, DO , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-926-3804"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.