Organization Active NPI

Carmen G Co MD PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1457501579
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
121424 Issued in NY
Legal business name
CARMEN G CO MD PC
Practice address
650 5TH Ave
Brooklyn, NY 11215-5400
Phone
(718) 788-0088
Fax
(718) 788-3903
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. Carmen Go Co, M.D.
Title
President
Phone
(718) 788-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 121424 NY Primary

Addresses

Primary practice location

650 5TH Ave
Brooklyn, NY 11215-5400

Mailing address

650 5TH Ave
Brooklyn, NY 11215-5400
Phone (718) 788-0088

Other identifiers 1

IdentifierTypeStateIssuer
00227656MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1457501579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155400",
            "telephone_number": "718-788-0088",
            "fax_number": "718-788-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155400",
            "telephone_number": "718-788-0088",
            "fax_number": "718-788-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN G CO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "GO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-788-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "121424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00227656",
            "state": "NY"
        }
    ],
    "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 Oct 14, 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.