Organization Active NPI

Cross County Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1306839931
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CROSS COUNTY MEDICAL PC
Practice address
1262 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone
(718) 859-5843
Fax
(718) 859-6284
NPI assigned
Aug 30, 2005
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mr. Judah Azriel Charnoff, MDNPI 1396738787
Title
President
Phone
(718) 859-5843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU

Addresses

Primary practice location

1262 Ocean Pkwy
Brooklyn, NY 11230-5102

Mailing address

1262 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone (718) 859-5843

Other identifiers 1

IdentifierTypeStateIssuer
5506981OtherGHI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1306839931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-859-5843",
            "fax_number": "718-859-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-859-5843",
            "fax_number": "718-859-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS COUNTY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "CHARNOFF",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_middle_name": "AZRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-859-5843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5506981",
            "state": null
        }
    ],
    "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 Dec 6, 2007; 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.