Active NPI
Chowdhury Medical Care PC
- Multi-Specialty Clinic/Center
- Brooklyn, NY
National Provider Identifier
1467822882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CHOWDHURY MEDICAL CARE PC
- Practice address
- 1084 Liberty Ave
Brooklyn, NY 11208-2923 - Phone
- (718) 277-2700
- Fax
- (718) 277-4191
- NPI assigned
- Sep 28, 2015
- 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. Asm Shah Alam Chowdhury, M.D
- Title
- M.D
- Phone
- (718) 277-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1084 Liberty Ave
Brooklyn, NY 11208-2923
Mailing address
1084 Liberty Ave
Brooklyn, NY 11208-2923
Phone (718) 277-2700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211248 | Other | NY | NY STATE LICENSE |
| 607526764 | Other | NY | TAX I'D |
| 025993699 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1084 Liberty Ave
Brooklyn, NY 11208
Phone (347) 586-0625
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1356418511
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1205320769
-
- Adult Health Nurse Practitioner
- Bronx, NY
- NPI 1841701711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443398400000",
"number": "1467822882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082923",
"telephone_number": "718-277-2700",
"fax_number": "718-277-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1084 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082923",
"telephone_number": "718-277-2700",
"fax_number": "718-277-4191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOWDHURY MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A",
"authorized_official_last_name": "CHOWDHURY",
"authorized_official_first_name": "ASM",
"authorized_official_middle_name": "SHAH ALAM",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "718-277-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE",
"identifier": "211248",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I'D",
"identifier": "607526764",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025993699",
"state": "NY"
}
],
"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 Sep 28, 2015; 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.