Organization Active NPI

Ycmd PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1285646109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
YCMD PC
Practice address
1664 E 14TH St
Suite 101
Brooklyn, NY 11229-1155
Phone
(718) 375-2100
Fax
(800) 349-4298
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vitaly Raykhman, M.D.
Title
Treasurer
Phone
(718) 375-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1664 E 14TH St
Suite 101
Brooklyn, NY 11229-1155

Mailing address

2790 W 5TH St
Apt. 4E
Brooklyn, NY 11224-4167
Phone (646) 623-3324

Other names 1

  • New York Urologic Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1660 E 14th St
Ste 202
Brooklyn, NY 11229

Practitioners & affiliated clinicians

Practitioners 2

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285646109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W 5TH ST",
            "address_2": "APT. 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244167",
            "telephone_number": "646-623-3324",
            "fax_number": "800-349-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 E 14TH ST",
            "address_2": "SUITE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291155",
            "telephone_number": "718-375-2100",
            "fax_number": "800-349-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YCMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAYKHMAN",
        "authorized_official_first_name": "VITALY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-375-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Urologic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.