Organization Active NPI

Natalia Natovich Medical,P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1417042771
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234971 Issued in NY
Legal business name
NATALIA NATOVICH MEDICAL,P.C.
Practice address
3049 Ocean Parkway
Brooklyn, NY 11235-8372
Phone
(718) 775-7733
Fax
(347) 702-7551
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Natalia Natovich, M.D.NPI 1750324117
Title
Owner
Phone
(718) 382-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 234971 NY Primary

Addresses

Primary practice location

3049 Ocean Parkway
Brooklyn, NY 11235-8372

Mailing address

2076 E 13TH St
Brooklyn, NY 11229-3304
Phone (718) 382-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000756 NY Part B Supplier - Clinic/Group Practice 6608874847 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3039 Ocean Pkwy
Ste A
Brooklyn, NY 11235
Phone (718) 775-7733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1417042771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7900",
            "fax_number": "717-382-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358372",
            "telephone_number": "718-775-7733",
            "fax_number": "347-702-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIA NATOVICH MEDICAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "NATOVICH",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-382-7900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234971",
            "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 Jul 20, 2010; 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.