Organization Active NPI

Kings Highway Best Medical PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1275737686
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
221645 Issued in NY
Legal business name
KINGS HIGHWAY BEST MEDICAL PC
Practice address
1421 Carroll St
Brooklyn, NY 11213-4449
Phone
(347) 627-9107
Fax
(341) 405-9108
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Olga Tseyko, MDNPI 1962468108
Title
President
Phone
(917) 873-7466

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 221645 NY Primary

Addresses

Primary practice location

1421 Carroll St
Brooklyn, NY 11213-4449

Mailing address

127 Jaffrey St
Brooklyn, NY 11235-3022
Phone (718) 382-8282

Other identifiers 1

IdentifierTypeStateIssuer
WWR811OtherNYMEDICARE GROUP NUMBER

Other names 1

  • olga tseyko Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000553 NY Part B Supplier - Clinic/Group Practice 2860590833 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

372 Utica Ave
Brooklyn, NY 11213
Phone (347) 627-9107

1421 Carroll St
Brooklyn, NY 11213
Phone (347) 627-9107

1421 Carroll St
Fl 1
Brooklyn, NY 11213
Phone (347) 627-9107

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 10

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1275737686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JAFFREY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353022",
            "telephone_number": "718-382-8282",
            "fax_number": "718-946-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134449",
            "telephone_number": "347-627-9107",
            "fax_number": "341-405-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HIGHWAY BEST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "TSEYKO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-873-7466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "221645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "WWR811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "olga tseyko",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 23, 2007; 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.

Verify at the official NPI Registry.