Active NPI
Kings County Physicians Group PLLC
- Pain Medicine Physician
- Brooklyn, NY
National Provider Identifier
1306489380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- KINGS COUNTY PHYSICIANS GROUP PLLC
- Practice address
- 1762 McDonald Ave
Brooklyn, NY 11230-6907 - Phone
- (718) 872-7358
- NPI assigned
- Oct 23, 2019
- 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
- Ashraf Salem, MD
- Title
- Medical Director
- Phone
- (212) 920-9212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1762 McDonald Ave
Brooklyn, NY 11230-6907
Mailing address
1762 McDonald Ave
Brooklyn, NY 11230-6907
Phone (718) 872-7358
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581638400000",
"number": "1306489380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 MCDONALD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306907",
"telephone_number": "718-872-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 MCDONALD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306907",
"telephone_number": "718-872-7358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS COUNTY PHYSICIANS GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "ASHRAF",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "212-920-9212",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.