Active NPI
Allcity Medical, P.C.
- Multi-Specialty Clinic/Center
- Brooklyn, NY
National Provider Identifier
1245679778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ALLCITY MEDICAL, P.C.
- Practice address
- 1576 Flatbush Ave
Brooklyn, NY 11210-3046 - Phone
- (347) 533-8530
- Fax
- (347) 533-8533
- NPI assigned
- Jun 18, 2013
- 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
- Konstantinos Zarkadas
- Title
- President
- Phone
- (212) 781-5075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1576 Flatbush Ave
Brooklyn, NY 11210-3046
Mailing address
4290 Broadway
Suite 2S
New York, NY 10033-3732
Phone (212) 781-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131211000554 | NY | Part B Supplier - Clinic/Group Practice | 7012144462 |
Receives reassigned benefits from 15 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, NY |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1245679778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4290 BROADWAY",
"address_2": "SUITE 2S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333732",
"telephone_number": "212-781-5075",
"fax_number": "212-781-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103046",
"telephone_number": "347-533-8530",
"fax_number": "347-533-8533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLCITY MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "ZARKADAS",
"authorized_official_first_name": "KONSTANTINOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-781-5075"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"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 18, 2013; 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.