Active NPI
Resnick Medical Practice PC
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
National Provider Identifier
1255821799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 285233
- Legal business name
- RESNICK MEDICAL PRACTICE PC
- Doing business as
- Resnick Medical Practice PC
- Practice address
- 229 Coleridge St
Brooklyn, NY 11235-4122 - Phone
- (917) 501-0064
- Fax
- (718) 360-2279
- NPI assigned
- May 10, 2018
- 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
- Lily Markman, CREDENTION
- Title
- Mananger
- Phone
- (917) 501-0064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 285233 | NY | Primary |
Addresses
Primary practice location
229 Coleridge St
Brooklyn, NY 11235-4122
Mailing address
229 Coleridge St
Brooklyn, NY 11235-4122
Phone (917) 501-0064
Other names 1
- Resnick Medical Practice PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Mineola, NY
- NPI 1578820528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525910400000",
"number": "1255821799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 COLERIDGE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354122",
"telephone_number": "917-501-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 COLERIDGE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354122",
"telephone_number": "917-501-0064",
"fax_number": "718-360-2279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESNICK MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A",
"authorized_official_last_name": "MARKMAN",
"authorized_official_first_name": "LILY",
"authorized_official_title_or_position": "MANANGER",
"authorized_official_telephone_number": "917-501-0064",
"authorized_official_credential": "CREDENTION"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "285233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Resnick Medical Practice PC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 10, 2018; 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.