NPIMap

Organization Active NPI

Traditional and Alternative Medicine PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1346468139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
207101 Issued in NY
Legal business name
TRADITIONAL AND ALTERNATIVE MEDICINE PC
Practice address
2 W End Ave
Brooklyn, NY 11235-4848
Phone
(718) 332-5268
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Grigoriy GoldenbergNPI 1093784837
Title
President
Phone
(917) 692-8241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 207101 NY Primary

Addresses

Primary practice location

2 W End Ave
Brooklyn, NY 11235-4848

Mailing address

20939 23Rd Ave Apt 2E
Bayside, NY 11360-1831
Phone (718) 224-5935

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346468139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20939 23RD AVE APT 2E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601831",
            "telephone_number": "718-224-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354848",
            "telephone_number": "718-332-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL AND ALTERNATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "GRIGORIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-692-8241",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "207101",
            "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 Aug 22, 2020; 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.