NPIMap

Organization Active NPI

Ny Total Medical Care, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275625428
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NY TOTAL MEDICAL CARE, P.C.
Practice address
362 9TH St
Brooklyn, NY 11215-4008
Phone
(718) 499-6099
Fax
(718) 499-6391
NPI assigned
Sep 28, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Jorge Serje, M.D.NPI 1285681643
Title
Owner
Phone
(718) 499-6099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X

Addresses

Primary practice location

362 9TH St
Brooklyn, NY 11215-4008

Mailing address

362 9TH St
Brooklyn, NY 11215-4008
Phone (718) 499-6099

Other identifiers 1

IdentifierTypeStateIssuer
02394512MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000010 NY Part B Supplier - Clinic/Group Practice 9638077399 Receives reassigned benefits from 21 practitioners
Practice locations: Brooklyn, NY; Middle Village, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0862326Total Medical Care PC362 9TH Street, Brooklyn, NY 11215Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

253 Broadway
Amityville, NY 11701
Phone (631) 598-0009

4507 New Utrecht Ave
Brooklyn, NY 11219

474 44th St
Brooklyn, NY 11220

145 Pinelawn Rd
Ste 145
Melville, NY 11747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1275625428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-499-6099",
            "fax_number": "718-499-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-499-6099",
            "fax_number": "718-499-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY TOTAL MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SERJE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-499-6099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02394512",
            "state": "NY"
        }
    ],
    "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 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.