Medical Doctor Din PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MEDICAL DOCTOR DIN PC

Practice address

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Phone

(718) 240-6703

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Andrews, CMBC

Title

Account Manager

Phone

(718) 240-6703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Shaun Ud Din, M.D.

  • Radiation Oncology Physician
  • Brooklyn, NY
  • NPI 1932493152
  Medicare reassignment NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1326638446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM LL91 RADIATION ONCOLOGY BASEMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6703",
            "fax_number": "718-240-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DOCTOR DIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "718-240-6703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMBC"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Consortium Inc
• Medical Decisions PC
• Medical Diagnostic Inc.
• Medical Diagnostic of Brooklyn PLLC
• Medical Diagnostic Support PLLC
• Medical Equipment Repairs & Distribution Inc.
• Medical Health 4 All PC
• Medical Health Practitioner Services PLLC
• Medical Health Provider Services PLLC
• Medical Healthcare Provider Services PLLC

• Radiation Oncology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.