Coney Island Medical Practice Plan

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

CONEY ISLAND MEDICAL PRACTICE PLAN

Practice address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Phone

(718) 616-3361

NPI assigned

May 2, 2011

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sudha Pentyalh

Title

Director

Phone

(631) 675-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1326339805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEY ISLAND MEDICAL PRACTICE PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "PENTYALH",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-675-9300"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coney Island Healthcare Medical P.C.
• Coney Island Hospital
• Coney Island Hospital
• Coney Island Hospital
• Coney Island Medical Diagnostic Services P C
• Coney Island Medical Practice Plan, P.C.
• Coney Island Medical Services PC
• Coney Island Pharmacy Inc (Community Care Pharmacy)
• Coney Island Physicians PC
• Coney Island Podiatry Care P.C.

• General Acute Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.