NPIMap

Organization Active NPI

Total Care Radiology PC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1346865227
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TOTAL CARE RADIOLOGY PC
Practice address
4209 Avenue U
Brooklyn, NY 11234-5121
Phone
(347) 484-8215
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. George Bolotin, MDNPI 1215299524
Title
President
Phone
(347) 484-8215

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4209 Avenue U
Brooklyn, NY 11234-5121

Mailing address

4750 Bedford Ave Apt 3D
Brooklyn, NY 11235-2623
Phone (347) 484-8215

Other names 1

  • Astra Vein & Endovascular Medical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105002032 NY Part B Supplier - Clinic/Group Practice 3971913740 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY; Bronx, NY; Astoria, NY

National Provider Directory

National Provider Directory

Locations

1976 Crotona Pkwy
Ste 3A1
Bronx, NY 10460
Phone (929) 447-4563

4209 Avenue U
Brooklyn, NY 11234
Phone (347) 934-9068

4209 Avenue U
#A
Brooklyn, NY 11234

2844 Ocean Pkwy
#6
Brooklyn, NY 11235
Phone (718) 222-0225

1629 Sheepshead Bay Rd
Ste 2
Brooklyn, NY 11235

Practitioners & affiliated clinicians

Practitioners 8

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1346865227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 BEDFORD AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352623",
            "telephone_number": "347-484-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345121",
            "telephone_number": "347-484-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "BOLOTIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-484-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astra Vein & Endovascular Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.