Organization Active NPI

Foster Avenue Medical Care PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1447416219
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
216171 Issued in NY
Legal business name
FOSTER AVENUE MEDICAL CARE PC
Practice address
1225 Foster Ave
Brooklyn, NY 11230-1607
Phone
(718) 421-1756
Fax
(718) 421-2497
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Mohammed Yousufuddin, M.D.NPI 1033137351
Title
President
Phone
(718) 421-1756

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 216171 NY Primary

Addresses

Primary practice location

1225 Foster Ave
Brooklyn, NY 11230-1607

Mailing address

1225 Foster Ave
Brooklyn, NY 11230-1607
Phone (718) 421-1756

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": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1447416219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301607",
            "telephone_number": "718-421-1756",
            "fax_number": "718-421-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301607",
            "telephone_number": "718-421-1756",
            "fax_number": "718-421-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER AVENUE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "YOUSUFUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-421-1756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "216171",
            "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 31, 2008; 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.