Ib Family Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IB FAMILY MEDICAL PC

Practice address

2797 Ocean Pkwy
Ste 2
Brooklyn, NY 11235-7870

Phone

(718) 576-1212

Fax

(718) 332-7110

NPI assigned

Oct 9, 2007

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Igor Beneditskiy, D.O.NPI 1043396047

Title

Medical Director

Phone

(718) 576-1212

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Igor Beneditskiy, MD, DO

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1043396047

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official
• Luiza Guseynov, M.D.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1114994134
  NPD (past)
• Rajen Priyavadan Maniar, MD

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1982661385
  NPD (past)
• Anatoly Pisman, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Brooklyn, NY
  • NPI 1245231687
  NPD (past)
• Anatoli Yoshovayev, P.T.

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1104095777
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1386832913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 MERMAID AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241234",
            "telephone_number": "718-576-1212",
            "fax_number": "718-332-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 OCEAN PKWY",
            "address_2": "STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357870",
            "telephone_number": "718-576-1212",
            "fax_number": "718-332-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IB FAMILY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "BENEDITSKIY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-576-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teona Iarajuli, MD
• Sabrina Marie Iasello
• Nino Iaseshvili Kiguradze
• Dimitri Iatrou, PHARMD
• Dennis Iavorski, OTR/L
• Caroline Paulin Ibale, RN
• Laura Ibanez Gomez, LMSW
• Viridiana Ibanez Robledo, FNP
• Maria Fernanda Ibarra Martinez, MD
• Denise Ibarra

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.