Organization Active NPI

Avenue P Medical Arts P.C.

  • Basic Emergency Medical Technician
  • Brooklyn, NY
National Provider Identifier
1366645871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
Legal business name
AVENUE P MEDICAL ARTS P.C.
Practice address
Avenue P Medical Center
209 Avenue P
Brooklyn, NY 11204
Phone
(718) 259-6666
Fax
(718) 259-7000
NPI assigned
Jun 11, 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. Simon Irman, D.O.
Title
President
Phone
(718) 259-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X NY Primary

Addresses

Primary practice location

Avenue P Medical Center
209 Avenue P
Brooklyn, NY 11204

Mailing address

209 Avenue P
Brooklyn, NY 11204-4903
Phone (718) 259-6666

National Provider Directory

National Provider Directory
Tax ID family
Avenue P Medical Arts PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366645871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044903",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENUE P MEDICAL CENTER",
            "address_2": "209 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE P MEDICAL ARTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRMAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-259-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": null,
            "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.