Organization Active NPI

Nycdohmh

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1407108574
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
467933-1 Issued in NY
Legal business name
NYCDOHMH
Practice address
295 Flatbush Avenue Ext
Brooklyn, NY 11201-3001
Phone
(718) 254-8997
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Ms. Gracita Marcellus-Coq
Title
Nic
Phone
(718) 254-8997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 467933-1 NY Primary

Addresses

Primary practice location

295 Flatbush Avenue Ext
Brooklyn, NY 11201-3001

Mailing address

10 Rose St
Brooklyn, NY 11236-3426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1407108574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROSE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-254-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCDOHMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MARCELLUS-COQ",
        "authorized_official_first_name": "GRACITA",
        "authorized_official_title_or_position": "NIC",
        "authorized_official_telephone_number": "718-254-8997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "467933-1",
            "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 Oct 12, 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.