NPIMap

Organization Active NPI

Medicine Associates at Lich

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1487601381
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICINE ASSOCIATES AT LICH
Practice address
349 Henry St
Brooklyn, NY 11201-5551
Phone
(718) 780-1473
NPI assigned
May 27, 2006
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Christine Kimble, MDNPI 1285696260
Title
Managing Employee
Phone
(718) 780-1473

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

349 Henry St
Brooklyn, NY 11201-5551

Mailing address

160 Water St
20FL
New York, NY 10038-4922
Phone (212) 256-3682

National Provider Directory

National Provider Directory

Locations

100 Clinton St
Brooklyn, NY 11201
Phone (718) 625-4244

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1487601381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "20FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3682",
            "fax_number": "212-256-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015551",
            "telephone_number": "718-780-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE ASSOCIATES AT LICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "718-780-1473",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Jul 30, 2008; 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.