Crown Heights Medical Doctor PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CROWN HEIGHTS MEDICAL DOCTOR PC

Practice address

236 Utica Ave
Brooklyn, NY 11213-3204

Phone

(718) 756-1309

Fax

(718) 756-1391

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Indra Parboo, OFFICE MANAGER

Title

Front Offic

Phone

(718) 756-1309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sami Pervaiz, DO

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1528592631
  Medicare reassignment NPD
• Pervaiz Iqbal, MD

  • Pulmonary Disease Physician
  • South Richmond Hill, NY
  • NPI 1083658918
  Medicare reassignment
• Sunaina Devi Ravuru, PA

  • Physician Assistant
  • South Richmond Hill, NY
  • NPI 1699346775
  Medicare reassignment
• Charmaine Jackqulin Gonzales, ANP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1659697878
  NPD
• Hamza Pervaiz, MD

  • Internal Medicine Physician
  • South Richmond Hill, NY
  • NPI 1366171845
  NPD

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1467040907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HARBOR CT E",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762435",
            "telephone_number": "718-756-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133204",
            "telephone_number": "718-756-1309",
            "fax_number": "718-756-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HEIGHTS MEDICAL DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "PARBOO",
        "authorized_official_first_name": "INDRA",
        "authorized_official_title_or_position": "FRONT OFFIC",
        "authorized_official_telephone_number": "718-756-1309",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crown C Inc
• Crown Drugs, LLC
• Crown Garden Adult Daycare Center Inc.
• Crown Geriatrics Supply Corp
• Crown Heights Footcare, PC
• Crown Heights P.T., O.T and SLP, PLLC
• Crown Heights Pharmacy Inc
• Crown Heights Pharmacy Inc
• Crown Heights Urgent Care
• Crown Medical PC

• Urgent Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.