Active NPI
Electra Health Medical PC
- Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1467070029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- ELECTRA HEALTH MEDICAL PC
- Practice address
- 75 Greene Ave 7B
Brooklyn, NY 11238 - Phone
- (646) 760-6669
- NPI assigned
- Jul 10, 2020
- Last updated
- Nov 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jannine Versi
- Title
- Coo
- Phone
- (202) 524-8706
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
75 Greene Ave 7B
Brooklyn, NY 11238
Mailing address
75 Greene Ave Apt 7B
Brooklyn, NY 11238-6789
Phone (646) 760-6669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, FL
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
225 Liberty St
Fl 29
New York, NY 10281
335 Madison Ave
Fl 3
New York, NY 10017
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Family Nurse Practitioner
- Poughkeepsie, NY
- NPI 1104464601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1467070029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 GREENE AVE APT 7B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386789",
"telephone_number": "646-760-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 GREENE AVE 7B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238",
"telephone_number": "646-760-6669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELECTRA HEALTH MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-10",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "VERSI",
"authorized_official_first_name": "JANNINE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "202-524-8706"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 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.