Organization Active NPI

Cross County Medical PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1417236969
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CROSS COUNTY MEDICAL PC
Practice address
1262 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone
(718) 859-5843
Fax
(718) 859-6250
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Judah A Charnoff
Title
President
Phone
(718) 859-5843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X NY
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X NY Primary

Addresses

Primary practice location

1262 Ocean Pkwy
Brooklyn, NY 11230-5102

Mailing address

1262 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone (718) 859-5843

Other identifiers 1

IdentifierTypeStateIssuer
03193840MedicaidNY

National Provider Directory

National Provider Directory

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": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1417236969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-859-5843",
            "fax_number": "718-859-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305102",
            "telephone_number": "718-859-5843",
            "fax_number": "718-859-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS COUNTY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "CHARNOFF",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-859-5843"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03193840",
            "state": "NY"
        }
    ],
    "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 Aug 15, 2011; 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.