Organization Active NPI

Khoury Medical Care PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1447318993
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
240972 Issued in NY
Legal business name
KHOURY MEDICAL CARE PC
Practice address
670 92ND St
Brooklyn, NY 11228-3632
Phone
(718) 833-8777
Fax
(718) 833-7177
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Eyad M Khoury, M.D.
Title
Owner
Phone
(718) 921-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 240972 NY Primary

Addresses

Primary practice location

670 92ND St
Brooklyn, NY 11228-3632

Mailing address

8008 Narrows Ave
Brooklyn, NY 11209-2831
Phone (718) 921-5242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070726000599 NY Part B Supplier - Clinic/Group Practice 9335240944 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

670 92nd St
Brooklyn, NY 11228
Phone (718) 748-7831

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1447318993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 NARROWS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092831",
            "telephone_number": "718-921-5242",
            "fax_number": "718-921-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283632",
            "telephone_number": "718-833-8777",
            "fax_number": "718-833-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOURY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "EYAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-921-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "240972",
            "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 Mar 31, 2008; 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.