Active NPI
Eminem Ceren Bicer, SPECIAL ED PROVIDER
- Specialist
- Brooklyn, NY
National Provider Identifier
1255808671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 652692
- Practice address
- 1723 E 12TH St
Brooklyn, NY 11229-1069 - Phone
- (718) 339-4000
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 652692 | NY | Primary |
| Contractor | 171W00000X | 652692 | NY |
Addresses
Primary practice location
1723 E 12TH St
Brooklyn, NY 11229-1069
Mailing address
63 Deirdre CT
Staten Island, NY 10304-2400
Phone (646) 932-1535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652692 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1255808671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 DEIRDRE CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042400",
"telephone_number": "646-932-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 E 12TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291069",
"telephone_number": "718-339-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICER",
"first_name": "EMINEM",
"middle_name": "CEREN",
"credential": "SPECIAL ED PROVIDER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "652692",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "652692",
"primary": false
}
],
"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 Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.