Organization Active NPI

Brooklyn Court Street Medical PC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1265072599
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BROOKLYN COURT STREET MEDICAL PC
Practice address
50 Court St Ste 1120
Brooklyn, NY 11201-4879
Phone
(212) 794-0240
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Peter S Kim, MD
Title
Owner
Phone
(845) 270-7648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

50 Court St Ste 1120
Brooklyn, NY 11201-4879

Mailing address

50 Court St Ste 1120
Brooklyn, NY 11201-4879
Phone (212) 794-0240

National Provider Directory

National Provider Directory

Locations

50 Court St
Ste 1120
Brooklyn, NY 11201
Phone (212) 794-0240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1265072599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COURT ST STE 1120",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014879",
            "telephone_number": "212-794-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COURT ST STE 1120",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014879",
            "telephone_number": "212-794-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COURT STREET MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-270-7648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Jan 15, 2020; 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.