Park Slope Medical Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

207890-1 Issued in NY

Legal business name

PARK SLOPE MEDICAL ASSOCIATES PC

Practice address

348 13TH St
Suite 103
Brooklyn, NY 11215-6177

Phone

(718) 499-4400

Fax

(718) 499-2704

NPI assigned

Feb 17, 2011

Last updated

Feb 17, 2011By 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

Dr. Varuzhan Dovlatyan, MD

Title

Medical Doctor

Phone

(718) 499-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1457658031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156177",
            "telephone_number": "718-499-4400",
            "fax_number": "718-499-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156177",
            "telephone_number": "718-499-4400",
            "fax_number": "718-499-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "DOVLATYAN",
        "authorized_official_first_name": "VARUZHAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-499-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "207890-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Slope Family Dentistry PC
• Park Slope Gastroenterology PLLC
• Park Slope Hematology Oncology, P.C.
• Park Slope Integrative Medicine PLCC
• Park Slope Kids Dental Care
• Park Slope Medical Health Provider, PC
• Park Slope Medical Ny PC
• Park Slope Medical Office PC
• Park Slope Medical PLLC
• Park Slope Medical Service PC

• 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 Feb 17, 2011; 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.