Adult and Geriatric Medical Care PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ADULT AND GERIATRIC MEDICAL CARE PC

Practice address

4802 10TH Ave FL 10
Brooklyn, NY 11219-2916

Phone

(917) 609-5537

Fax

(718) 630-3761

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Diana Levina, MDNPI 1114017472

Title

President

Phone

(917) 609-5537

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Levina, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1114017472
  Medicare reassignment NPD Authorized official
• Sergey Igorevich Genkin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1942268701
  Medicare reassignment NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1366567414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BEAUMONT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354118",
            "telephone_number": "917-609-4748",
            "fax_number": "718-630-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE FL 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "917-609-5537",
            "fax_number": "718-630-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND GERIATRIC MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "LEVINA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-609-5537",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "234232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03416084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Adu-Mensah, RN
• Patricia Adu-Okoampah, CRNA
• Uyinmwen Adu
• Saglara Aduchieva
• Kingsley Adudun
• Adult Centers of Brooklyn Inc
• Adult Resources Center
• Gladys Adun, RN
• Sarathchandra Adusumalli
• Osafugbe Aduware

• Geriatric Medicine (Internal Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.