Active NPI
Shorefront Operating LLC
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1376292722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SHOREFRONT OPERATING LLC
- Practice address
- 3015 W 29TH St
Brooklyn, NY 11224-1901 - Phone
- (718) 266-5700
- NPI assigned
- Mar 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avi Philipson
- Title
- Manager
- Phone
- (845) 664-4504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3015 W 29TH St
Brooklyn, NY 11224-1901
Mailing address
3015 W 29TH St
Brooklyn, NY 11224-1901
National Provider Directory
National Provider Directory- Tax ID family
- Seagate Rehabilitation and Health Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Seagate Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1801206156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647907200000",
"number": "1376292722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 W 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 W 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241901",
"telephone_number": "718-266-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOREFRONT OPERATING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A",
"authorized_official_last_name": "PHILIPSON",
"authorized_official_first_name": "AVI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "845-664-4504"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Shorefront Jewish Geriatric Center
- Shorefront Jewish Geriatric Center Inc.
- Shorefront Jewish Geriatric Center Inc.
- Shorefront Jewish Geriatric Dba MJGC Homecare
- Shorefront Medical Care
- Shorefront Operating LLC (Seagate Rehabilitation and Health Care Center)
- Shoreline Medical Services PC
- Shoreview Specialty Inc (Regal remedies Pharmacy)
- Eric Grant Shorey, LP
- Eric Shork, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.