Organization Active NPI

Advance Medical Office PC.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1326223025
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
213294 Issued in NY
Legal business name
ADVANCE MEDICAL OFFICE PC.
Practice address
795 Coney Island Ave
Brooklyn, NY 11218-5309
Phone
(718) 287-1811
Fax
(718) 282-1116
NPI assigned
Jan 1, 2008
Last updated
Jan 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Authorized official

Name
Mr. Arshad Anwar, M.DNPI 1174635916
Title
President
Phone
(718) 287-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 213294 NY Primary

Addresses

Primary practice location

795 Coney Island Ave
Brooklyn, NY 11218-5309

Mailing address

91 Kensington Rd S
West Hempstead, NY 11552-1117
Phone (718) 287-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000276 NY Part B Supplier - Clinic/Group Practice 2961550694 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3145 Coney Island Ave
Brooklyn, NY 11235
Phone (718) 769-0506

Practitioners & affiliated clinicians

Practitioners 7

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": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1326223025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 KENSINGTON RD S",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521117",
            "telephone_number": "718-287-1811",
            "fax_number": "718-282-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185309",
            "telephone_number": "718-287-1811",
            "fax_number": "718-282-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL OFFICE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "ARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-287-1811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213294",
            "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 Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.