Brooklyn Comprehensive Care Medical PC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

License

234776 Issued in NY

Legal business name

BROOKLYN COMPREHENSIVE CARE MEDICAL PC

Practice address

4711 Church Ave
Brooklyn, NY 11203-3209

Phone

(917) 364-0801

Fax

(516) 629-6258

NPI assigned

Aug 29, 2010

Organization subpart

No

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

Authorized official

Name

Syed I Ahmed

Title

Ceo

Phone

(917) 364-0801

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Day, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1689625782
  NPD (past)

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1285940148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033209",
            "telephone_number": "917-364-0801",
            "fax_number": "516-629-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033209",
            "telephone_number": "917-364-0801",
            "fax_number": "516-629-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COMPREHENSIVE CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-29",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-364-0801"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "234776",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "234776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234776",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NY",
            "license": "234776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Community Medical PC
• Brooklyn Community Medical PC
• Brooklyn Community Medical PC
• Brooklyn Community Pros
• Brooklyn Comprehensive Care Center Inc.
• Brooklyn Comprehensive Healthcare Medical PC
• Brooklyn Conservatory of Music
• Brooklyn Cosmetic and Implant Dentistry
• Brooklyn Counseling and Therapy, LCSW, PLLC
• Brooklyn Court Street Medical PC

• Obesity Medicine (Internal Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obesity Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.