Organization Active NPI

Midwood Medical Care, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1386903367
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
260880 Issued in NY
Legal business name
MIDWOOD MEDICAL CARE, P.C.
Practice address
1915 Ocean Ave
Brooklyn, NY 11230-6801
Phone
(718) 951-0333
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Yana Shtern, M.D.
Title
Medical Doctor
Phone
(917) 209-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 260880 NY Primary

Addresses

Primary practice location

1915 Ocean Ave
Brooklyn, NY 11230-6801

Mailing address

2440 E 29TH St
Apt. 4E
Brooklyn, NY 11235-1950
Phone (917) 209-9990

National Provider Directory

National Provider Directory

Locations

1915 Ocean Ave
Ste 3
Brooklyn, NY 11230
Phone (718) 258-7700

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1386903367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E 29TH ST",
            "address_2": "APT. 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351950",
            "telephone_number": "917-209-9990",
            "fax_number": "614-748-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306801",
            "telephone_number": "718-951-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "SHTERN",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "917-209-9990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "260880",
            "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 May 10, 2012; 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.