Brooklyn Urology P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

146673 Issued in NY

Legal business name

BROOKLYN UROLOGY P.C.

Practice address

1 Prospect Park W
Suite C
Brooklyn, NY 11215-1601

Phone

(718) 230-7788

Fax

(718) 230-8017

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Ivan Grunberger, M.D.

Title

President

Phone

(516) 569-0696

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1346297074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981432",
            "telephone_number": "516-569-0696",
            "fax_number": "516-569-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT PARK W",
            "address_2": "SUITE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151601",
            "telephone_number": "718-230-7788",
            "fax_number": "718-230-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN UROLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "GRUNBERGER",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-569-0696",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "146673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01794123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Urgent Care of Boro Park PLLC
• Brooklyn Urgent Care of Marine Park PLLC
• Brooklyn Urgent Care PLLC
• Brooklyn Urgent Medical Care PC
• Brooklyn Urologic Health & Associates
• Brooklyn Veterans Administration Medical Center
• Brooklyn Village Adult Day Care Center Inc
• Brooklyn Vision Center Inc
• Brooklyn Vision Group Inc
• Brooklyn Vista Site Eyecare Inc.

• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.