Organization Active NPI

Polymed Community Care,PC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1316072325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
POLYMED COMMUNITY CARE,PC
Practice address
282 Avenue X
Brooklyn, NY 11223-5934
Phone
(718) 645-2335
Fax
(718) 645-3404
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sergey Petrov, M.D
Title
Internal Medicine
Phone
(718) 645-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

282 Avenue X
Brooklyn, NY 11223-5934

Mailing address

282 Avenue X
Brooklyn, NY 11223-5934
Phone (718) 645-2335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316072325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235934",
            "telephone_number": "718-645-2335",
            "fax_number": "718-645-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235934",
            "telephone_number": "718-645-2335",
            "fax_number": "718-645-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYMED COMMUNITY CARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "718-645-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal 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 Aug 22, 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.