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

Last updated

Aug 20, 2013By the provider in NPPES

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, MDNPI 1992741086

Title

Owner

Phone

(718) 859-3499

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Michael Koegel, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1992741086
  Authorized official Same address or phone

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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "165060",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165060",
            "primary": true
        }
    ],
    "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.