53Rd Street Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

160217-1 Issued in NY

Legal business name

53RD STREET MEDICAL PC

Practice address

471 53Rd St
Brooklyn, NY 11220-2712

Phone

(718) 492-4109

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Robert Zwitiashvili, M.D.

Title

Director

Phone

(718) 492-4109

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Rojas, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1831147396
  NPD (past)
• Robert Zwitiashvil Sr., M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1841346392
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1326326612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202712",
            "telephone_number": "718-492-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202712",
            "telephone_number": "718-492-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "53RD STREET MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "ZWITIASHVILI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-492-4109",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160217-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.