Ocean Side Medical of Brooklyn, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

223436 Issued in NY

Legal business name

OCEAN SIDE MEDICAL OF BROOKLYN, PC

Practice address

2792 Ocean Ave
Brooklyn, NY 11229-4729

Phone

(347) 275-6470

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Mustak Vaid

Title

MD/President

Phone

(718) 934-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1306178728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235502",
            "telephone_number": "718-934-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294729",
            "telephone_number": "347-275-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SIDE MEDICAL OF BROOKLYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "MUSTAK",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "718-934-7500"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "223436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.