Active NPI
Pdi Medical PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1295014553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PDI MEDICAL PC
- Practice address
- 544 Park Ave Ste 600
Brooklyn, NY 11205-1600 - Phone
- (646) 924-7211
- NPI assigned
- Aug 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark V Burke
- Title
- Treasurer
- Phone
- (646) 921-7211
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
544 Park Ave Ste 600
Brooklyn, NY 11205-1600
Mailing address
544 Park Ave Ste 600
Brooklyn, NY 11205-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191751 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryLocations
544 Park Ave
Ste 600
Brooklyn, NY 11205
Phone (646) 924-7211
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Brooklyn, NY
- NPI 1003132952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1295014553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 PARK AVE STE 600",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 PARK AVE STE 600",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051600",
"telephone_number": "646-924-7211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDI MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "646-921-7211"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "191751",
"state": "NY"
}
],
"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 Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.