NPIMap

Organization Active NPI

Hartford Medical PC

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1285676635
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HARTFORD MEDICAL PC
Practice address
406 15TH St
Suite M-2
Brooklyn, NY 11215-6054
Phone
(718) 499-6590
Fax
(718) 499-6594
NPI assigned
Jun 11, 2006
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Mr. Mohamed H Bedewi
Title
Managing Employee
Phone
(718) 499-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X NY Primary

Addresses

Primary practice location

406 15TH St
Suite M-2
Brooklyn, NY 11215-6054

Mailing address

PO Box 2215
New York, NY 10101-2215
Phone (718) 499-6590

National Provider Directory

National Provider Directory

Locations

1150 Sunrise Hwy
Bay Shore, NY 11706
Phone (631) 665-1150

Practitioners & affiliated clinicians

Practitioners 8

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1285676635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101012215",
            "telephone_number": "718-499-6590",
            "fax_number": "718-499-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 15TH ST",
            "address_2": "SUITE M-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156054",
            "telephone_number": "718-499-6590",
            "fax_number": "718-499-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "BEDEWI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "718-499-6590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "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 Sep 2, 2010; 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.