Organization Active NPI

Emerth Nyc Medical PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1487042677
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EMERTH NYC MEDICAL PC
Practice address
2026 Ocean Ave
Ste 1B
Brooklyn, NY 11230-7396
Phone
(917) 862-0406
Fax
(917) 831-4301
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Emerth Lance Coburn, M.D.
Title
Director
Phone
(917) 862-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2026 Ocean Ave
Ste 1B
Brooklyn, NY 11230-7396

Mailing address

2026 Ocean Ave
Ste 1B
Brooklyn, NY 11230-7396
Phone (917) 862-0406

National Provider Directory

National Provider Directory

Locations

22718 Merrick Blvd
Laurelton, NY 11413
Phone (516) 775-8605

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1487042677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 OCEAN AVE",
            "address_2": "STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307396",
            "telephone_number": "917-862-0406",
            "fax_number": "917-831-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 OCEAN AVE",
            "address_2": "STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307396",
            "telephone_number": "917-862-0406",
            "fax_number": "917-831-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERTH NYC MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "EMERTH",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-862-0406",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "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 23, 2014; 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.