Union Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

232004 Issued in NY

Legal business name

UNION MEDICAL PC

Practice address

1562 Union St
Brooklyn, NY 11213-4501

Phone

(718) 344-9126

Fax

(718) 778-4477

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mario Gustave, MD

Title

Owner

Phone

(718) 344-9126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1285061176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134501",
            "telephone_number": "718-344-9126",
            "fax_number": "718-778-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134501",
            "telephone_number": "718-344-9126",
            "fax_number": "718-778-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "GUSTAVE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-344-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "232004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.