Amethyst Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

156199-1 Issued in NY

Legal business name

AMETHYST MEDICAL PC

Practice address

1840 E 14TH St
Brooklyn, NY 11229-2800

Phone

(718) 336-5257

Fax

(718) 336-5187

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lee Craig Nagourney, MD

Title

President

Phone

(718) 336-5257

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447361399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292800",
            "telephone_number": "718-336-5257",
            "fax_number": "718-336-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292800",
            "telephone_number": "718-336-5257",
            "fax_number": "718-336-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGOURNEY",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-336-5257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "156199-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02752963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.