NPIMap

Organization Active NPI

I Chanmin MD Medical PC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1336328053
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
219338 Issued in NY
Legal business name
I CHANMIN MD MEDICAL PC
Practice address
130 Kensington St
Brooklyn, NY 11235-3025
Phone
(718) 666-2248
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Igor Chanmin
Title
President
Phone
(718) 666-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 219338 NY Primary

Addresses

Primary practice location

130 Kensington St
Brooklyn, NY 11235-3025

Mailing address

130 Kensington St
Brooklyn, NY 11235-3025
Phone (718) 666-2248

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1336328053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KENSINGTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353025",
            "telephone_number": "718-666-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KENSINGTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353025",
            "telephone_number": "718-666-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CHANMIN MD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CHANMIN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-666-2248"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "219338",
            "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 Apr 8, 2008; 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.