Nyc Brook Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NYC BROOK MEDICAL LLC

Doing business as

NYC BROOK MEDICAL

Practice address

183 Wilson St Ste 205
Brooklyn, NY 11211-7578

Phone

(718) 444-4446

Fax

(718) 444-4009

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. T Brown

Title

Manager

Phone

(718) 444-4446

Specialties & licenses 1

Addresses

Other names 1

• NYC BROOK MEDICAL Doing business as

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1255705075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342436",
            "telephone_number": "718-444-4446",
            "fax_number": "718-444-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WILSON ST STE 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117578",
            "telephone_number": "718-444-4446",
            "fax_number": "718-444-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC BROOK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-444-4446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYC BROOK MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Racheal A Nyarko, LMSW
• Nyc 1312 LLC
• Nyc Arrhythmia Care, PLLC
• Nyc Behavior Specialists LLC
• Nyc Board of Education
• Nyc Care PT PC
• Nyc CBTP
• Nyc Community EMS Volunteer Ambulance Corp
• Nyc Creative Arts Therapy PLLC
• Nyc Dental Group PLLC

• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.