Ocean Medical PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OCEAN MEDICAL PC

Practice address

2792 Ocean Ave
Brooklyn, NY 11229-4708

Phone

(718) 743-7090

Fax

(718) 648-1328

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Stella Zavelyuk, MD

Title

President

Phone

(718) 743-7090

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1285861682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294708",
            "telephone_number": "718-743-7090",
            "fax_number": "718-648-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294708",
            "telephone_number": "718-743-7090",
            "fax_number": "718-648-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "ZAVELYUK",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-743-7090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03140269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Group Medical, P.C.
• Ocean Health Group LLC
• Ocean Management Group, Inc
• Ocean Medical Diagnostics P.C.
• Ocean Medical Health Services Inc
• Ocean Medical Plaza P.C.
• Ocean One Physical Therapy,PC
• Ocean Parkway Endoscopy Obs
• Ocean Parkway Family Practice Associates PC
• Ocean Parkway Medical Care PC

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.