Organization Active NPI

Optimal Brooklyn Medical P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1346527991
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OPTIMAL BROOKLYN MEDICAL P.C.
Practice address
1753 Broadway
Brooklyn, NY 11207-1594
Phone
(718) 452-2719
Fax
(718) 452-2735
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Mr. Enrico Palazzo
Title
Manager
Phone
(718) 452-2719

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

1753 Broadway
Brooklyn, NY 11207-1594

Mailing address

1753 Broadway
Brooklyn, NY 11207-1594
Phone (718) 452-2719

National Provider Directory

National Provider Directory

Locations

1753 Broadway
Brooklyn, NY 11207
Phone (718) 452-2719

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1346527991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071594",
            "telephone_number": "718-452-2719",
            "fax_number": "718-452-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071594",
            "telephone_number": "718-452-2719",
            "fax_number": "718-452-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BROOKLYN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-452-2719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 10, 2011; 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.