NPIMap

Organization Active NPI

Provider Medical Care PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346472495
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227423 Issued in NY
Legal business name
PROVIDER MEDICAL CARE PC
Practice address
7616 Bay Parkway 1 Floor
Brooklyn, NY 11214-1516
Phone
(516) 225-9059
NPI assigned
Aug 21, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Elhan Suley, DONPI 1124031778
Title
President
Phone
(516) 225-9059

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
Family Medicine Physician 207Q00000X 227423 NY Primary

Addresses

Primary practice location

7616 Bay Parkway 1 Floor
Brooklyn, NY 11214-1516

Mailing address

7616 Bay Parkway 1 Floor
Brooklyn, NY 11214-1516
Phone (718) 943-0100

National Provider Directory

National Provider Directory

Locations

7616 Bay Pkwy
#1
Brooklyn, NY 11214
Phone (516) 225-9059

7819 18th Ave
Ste B
Brooklyn, NY 11214
Phone (718) 943-0100

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1346472495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 BAY PARKWAY 1 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-943-0100",
            "fax_number": "718-943-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 BAY PARKWAY 1 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "516-225-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SULEY",
        "authorized_official_first_name": "ELHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-225-9059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227423",
            "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 Dec 7, 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.