NPIMap

Organization Active NPI

Clear Choice Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1285155499
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLEAR CHOICE MEDICAL PC
Practice address
309 Rutledge St Ste 2B
Brooklyn, NY 11211-7512
Phone
(845) 738-8770
NPI assigned
Jun 28, 2017
Last updated
Nov 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Peyman E Younesi, MDNPI 1891942645
Title
MD/Owner
Phone
(347) 709-3133

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

309 Rutledge St Ste 2B
Brooklyn, NY 11211-7512

Mailing address

30 Harbor Acres Rd
Sands Point, NY 11050-2653
Phone (347) 709-3133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620001586 NY Part B Supplier - Clinic/Group Practice 1759636491 Receives reassigned benefits from 11 practitioners
Practice locations: Woodmere, NY; Staten Island, NY; Rockaway Park, NY; Jackson Heights, NY; Flushing, NY; Brooklyn, NY; Bronx, NY; Far Rockaway, NY

National Provider Directory

National Provider Directory

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

1051 Port Washington Blvd
Unit 1324
Port Washington, NY 11050

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1285155499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARBOR ACRES RD",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110502653",
            "telephone_number": "347-709-3133",
            "fax_number": "516-708-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 RUTLEDGE ST STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117512",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "YOUNESI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "347-709-3133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Nov 27, 2019; 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.