Organization Active NPI

Kings County Physicians Group PLLC

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1306489380
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Feb 14, 2020

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.