Organization Active NPI

Excluse Care Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1396796694
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
227160 Issued in NY
Legal business name
EXCLUSE CARE MEDICAL P.C.
Practice address
202 Foster Ave
Ste B
Brooklyn, NY 11230-2119
Phone
(718) 338-0014
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Zarina Mandelblat
Title
President
Phone
(718) 805-4255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 227160 NY Primary

Addresses

Primary practice location

202 Foster Ave
Ste B
Brooklyn, NY 11230-2119

Mailing address

PO Box 351154
Brooklyn, NY 11235-8954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1396796694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351154",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "address_2": "STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-338-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSE CARE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MANDELBLAT",
        "authorized_official_first_name": "ZARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-805-4255"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227160",
            "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 Apr 10, 2008; 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.