Active NPI
Midwood Medical P.C.
- Radiology Clinic/Center
- Brooklyn, NY
National Provider Identifier
1477766657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MIDWOOD MEDICAL P.C.
- Practice address
- 2222 Coney Island Ave
Brooklyn, NY 11223-3338 - Phone
- (718) 336-6667
- NPI assigned
- May 7, 2007
- 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. Albert J Werrell
- Title
- Medical Director
- Phone
- (718) 336-6667
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 |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
2222 Coney Island Ave
Brooklyn, NY 11223-3338
Mailing address
2222 Coney Island Ave
Brooklyn, NY 11223-3338
Phone (718) 336-6667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02363468 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2222 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 336-6667
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Medicine Physician
- Brooklyn, NY
- NPI 1962410878
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1568413045
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1396798872
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1043275092
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1538343595
-
- Clinical Cardiac Electrophysiology Physician
- Brooklyn, NY
- NPI 1760436885
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1982653812
-
- Cardiovascular Disease Physician
- Hauppauge, NY
- NPI 1306846621
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1841218039
-
- Diagnostic Radiology Physician
- Bedford Hills, NY
- NPI 1134102270
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1710987169
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1780625509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1477766657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233338",
"telephone_number": "718-336-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233338",
"telephone_number": "718-336-6667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWOOD MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "WERRELL",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-336-6667",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02363468",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Midwood Dialysis, LLC (Neomy Dialysis Center, LLC)
- Midwood Family Doctor, PLLC
- Midwood Family Vision
- Midwood General and Physical Medicine, P.C.
- Midwood Medical Care, P.C.
- Midwood Mobile Diagnostics, Inc.
- Midwood Nephrology Care PLLC
- Midwood Obstetrics and Gynecology, PLLC
- Midwood Optical LLC
- Midwood Orthodontics, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.