NPIMap

Organization Active NPI

Roseline Ihim Medicine PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1467721316
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROSELINE IHIM MEDICINE PLLC
Practice address
401 Ditmas Ave
Brooklyn, NY 11218-4919
Phone
(718) 480-6794
Fax
(718) 480-6985
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Roseline Ngozi Ihim, M.D.
Title
President
Phone
(718) 480-6794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

401 Ditmas Ave
Brooklyn, NY 11218-4919

Mailing address

401 Ditmas Ave
Brooklyn, NY 11218-4919
Phone (718) 480-6794

National Provider Directory

National Provider Directory

Locations

401 Ditmas Ave
Brooklyn, NY 11218
Phone (718) 576-6712

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1467721316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184919",
            "telephone_number": "718-480-6794",
            "fax_number": "718-480-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184919",
            "telephone_number": "718-480-6794",
            "fax_number": "718-480-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELINE IHIM MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "IHIM",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-480-6794",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 22, 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.