Ocean Avenue Medical Practice, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

167701 Issued in NY

Legal business name

OCEAN AVENUE MEDICAL PRACTICE, PC

Practice address

2700 Ocean Ave
Brooklyn, NY 11229-4604

Phone

(718) 934-6777

Fax

(718) 934-9560

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Lazar Y Kaganovsky, MD

Title

President

Phone

(718) 934-6777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1326468380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294604",
            "telephone_number": "718-934-6777",
            "fax_number": "718-934-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294604",
            "telephone_number": "718-934-6777",
            "fax_number": "718-934-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN AVENUE MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "KAGANOVSKY",
        "authorized_official_first_name": "LAZAR",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-934-6777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "167701",
            "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 Apr 17, 2014; 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.