Ny Med of Brooklyn LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NY MED OF BROOKLYN LLC

Practice address

765 Nostrand Ave
Brooklyn, NY 11216

Phone

(718) 263-3500

Fax

(718) 263-3565

NPI assigned

Dec 22, 2021

Last updated

Mar 24, 2026By 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

Russell Greenseid, DCNPI 1255339032

Title

Member

Phone

(718) 769-2521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• Kanwal Jehan Ali, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1861280869
  Medicare reassignment NPD
• Genevieve Vamenta Cabahug, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1043090699
  Medicare reassignment NPD
• Latasha Patrina Shepherd, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1003671876
  Medicare reassignment NPD
• Russell Greenseid, DC

  • Chiropractor
  • Brooklyn, NY
  • NPI 1255339032
  NPD Authorized official
• Howard Baum, M.D.

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1063529287
  Medicare reassignment
• Chanelle Gordon, FNP-C

  • Family Nurse Practitioner
  • Saint Albans, NY
  • NPI 1114462397
  Medicare reassignment

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1457011140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750250",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750250",
            "telephone_number": "718-263-3500",
            "fax_number": "718-263-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11216",
            "telephone_number": "718-263-3500",
            "fax_number": "718-263-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY MED OF BROOKLYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GREENSEID",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-769-2521",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ny Foundling
• Ny Homeside Rehab PT OT SLP PLLC
• Ny Horizon Solutions LLC
• Ny Integrative Medicine PC
• Ny Lung and Thoracic PLLC
• Ny Medical Health Care Diagnostic, PC
• Ny Medical Plus, PC
• Ny Methodist Hospital
• Ny Methodist Hospital
• Ny Methodist Hospital

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.