Organization Active NPI

City Physicians PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1386160026
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CITY PHYSICIANS PC
Practice address
135 Ocean Pkwy Ste 1T
Brooklyn, NY 11218-2579
Phone
(718) 841-6562
Fax
(888) 321-3121
NPI assigned
Aug 15, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Inessa Sable
Title
Billing Administrator
Phone
(718) 333-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

135 Ocean Pkwy Ste 1T
Brooklyn, NY 11218-2579

Mailing address

PO Box 245807
Brooklyn, NY 11224-7807
Phone (718) 841-6562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018002164 NY Part B Supplier - Clinic/Group Practice 0941576920 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386160026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245807",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112247807",
            "telephone_number": "718-841-6562",
            "fax_number": "888-321-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OCEAN PKWY STE 1T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182579",
            "telephone_number": "718-841-6562",
            "fax_number": "888-321-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SABLE",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "718-333-1394"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Jun 16, 2018; 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.