Active NPI
Family Care Center
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1275673089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 168135
- Legal business name
- FAMILY CARE CENTER
- Practice address
- 941 Ocean Ave
Brooklyn, NY 11226-6715 - Phone
- (718) 469-8492
- NPI assigned
- Feb 8, 2007
- 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
- Dr. Mitzi Angela Reid, M.D.
- Title
- Owner
- Phone
- (718) 469-8492
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 168135 | NY | Primary |
Addresses
Primary practice location
941 Ocean Ave
Brooklyn, NY 11226-6715
Mailing address
941 Ocean Ave
Brooklyn, NY 11226-6715
Phone (718) 469-8492
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100027817201 | Other | NY | UNITED HEALTHCARE |
| BKX033002 | Other | NY | AMERICHOICE OF NEW YORK |
| P3507562 | Other | NY | 0XFORD HEALTH PLAN |
| 5996296 | Other | NY | GHI |
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1740320100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275673089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266715",
"telephone_number": "718-469-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266715",
"telephone_number": "718-469-8492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "MITZI",
"authorized_official_middle_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-469-8492",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "168135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "100027817201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OF NEW YORK",
"identifier": "BKX033002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0XFORD HEALTH PLAN",
"identifier": "P3507562",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5996296",
"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 Aug 22, 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.