Active NPI
Medical Healthcare Provider Services PLLC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1467159863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL HEALTHCARE PROVIDER SERVICES PLLC
- Practice address
- 1703 47TH St
Brooklyn, NY 11204-1228 - Phone
- (914) 359-4420
- Fax
- (914) 355-3035
- NPI assigned
- Feb 15, 2023
- 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
- Dr. Nayan K Das, MD
- Title
- Owner
- Phone
- (914) 359-4420
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
1703 47TH St
Brooklyn, NY 11204-1228
Mailing address
5014 16TH Ave Ste 13
Brooklyn, NY 11204-1404
Phone (914) 359-4420
National Provider Directory
National Provider DirectoryLocations
5014 16th Ave
Ste 13
Brooklyn, NY 11204
Phone 9143594420103
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Amherst, NY
- NPI 1497124382
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1871927798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1467159863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 16TH AVE STE 13",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041404",
"telephone_number": "914-359-4420",
"fax_number": "914-355-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 47TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041228",
"telephone_number": "914-359-4420",
"fax_number": "914-355-3035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL HEALTHCARE PROVIDER SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "DAS",
"authorized_official_first_name": "NAYAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-359-4420",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"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 Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.