Prospect Hills Medical Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

226995 Issued in NY

Legal business name

PROSPECT HILLS MEDICAL CARE PLLC

Doing business as

None

Practice address

275 Hull St
Brooklyn, NY 11233-2906

Phone

(718) 443-2300

NPI assigned

Jul 12, 2006

Last updated

May 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emefre Oscar-Amanam Udo, MD

Title

Owner/Ceo

Phone

(718) 443-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NONE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Galdamez, MD

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1780772756
  NPD (past)
• Afshin Shahkoohi, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1326198631
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1447285952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210968",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112210968",
            "telephone_number": "718-443-2300",
            "fax_number": "718-443-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HULL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112332906",
            "telephone_number": "718-443-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT HILLS MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "UDO",
        "authorized_official_first_name": "EMEFRE",
        "authorized_official_middle_name": "OSCAR-AMANAM",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "718-443-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100001474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prospect Acquisition III LLC (Cassena Care at Home)
• Prospect Ave. Medical P.C. (Prospect Medical)
• Prospect Care Pharmacy
• Prospect Gardens Pharmacy Inc.
• Prospect Heights Cardiology PLLC
• Prospect Kids, LLC
• Prospect Lefferts Gardens Medical PC
• Prospect Medical Care of New York, P.C.
• Prospect Medical Group
• Prospect Park Medical Plaza PC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.