Macintosh Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MACINTOSH MEDICAL, P.C.

Practice address

3910 Church Ave
Brooklyn, NY 11203-2915

Phone

(800) 632-3557

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Kamrunnahar Kanny

Title

Director

Phone

(800) 632-3557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1457946741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W 4TH ST STE 324",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032915",
            "telephone_number": "800-632-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACINTOSH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "KANNY",
        "authorized_official_first_name": "KAMRUNNAHAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-632-3557"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neema William Machumu, M.D.
• Alexis Macias, DO
• Lambert Cabrera Macias, M.D.
• Kate A. Maciejka, M.D.
• Leandro Maciel, MHC
• Natalie Maciolek, LPN
• Sean Macisaac, PT. DPT
• Katarzyna Maciulewski
• Cynthia Jenell Mack
• Kelsey Aaren Mack, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.