Avenue L Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

165060 Issued in NY

Legal business name

AVENUE L MEDICAL PC

Practice address

1911 Avenue L
Brooklyn, NY 11230-5002

Phone

(718) 859-3499

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael M Koegel, MD

Title

Owner

Phone

(718) 859-3499

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1487087979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305002",
            "telephone_number": "718-859-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305002",
            "telephone_number": "718-859-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE L MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "KOEGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-859-3499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165060",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "165060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenue D Opticians Inc
• Avenue D Professional Group P.C.
• Avenue F Pharmacy Inc.
• Avenue K (Icl)
• Avenue K Drugs Inc
• Avenue O Pharmacy Inc
• Avenue P Medical Arts P.C.
• Avenue P Medical Arts P.C.
• Avenue P Medical PC
• Avenue P Medical Services, PC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.