Geo Medical Care PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

204511 Issued in NY

Legal business name

GEO MEDICAL CARE PC

Practice address

26 Newkirk PLZ
Brooklyn, NY 11226-6525

Phone

(718) 434-7545

Fax

(718) 434-7564

NPI assigned

Aug 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Nasrullah Khan, M.D.NPI 1457428088

Title

Owner

Phone

(718) 434-7545

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• Nasrullah Khan, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1457428088
  Medicare reassignment NPD Authorized official
• Abul Azad, PA-C

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1154789873
  NPD (past)
• Ella Degtyareva, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1760499230
  NPD (past)
• Tahreem Javed, PA-C

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1376084830
  NPD (past)
• Abdullah Khan

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1083877666

  Internal Medicine

  NPD (past)
• Ijeoma Adaeze Oguagha, M.D.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1265793822
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1487655031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NEWKIRK PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266525",
            "telephone_number": "718-434-7545",
            "fax_number": "718-434-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 NEWKIRK PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266525",
            "telephone_number": "718-434-7545",
            "fax_number": "718-434-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEO MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NASRULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-434-7545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "195819",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227066",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "204511",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "210632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01689409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaya Genuth
• Lewis Genuth, MD
• Mayya Genyuk I
• Oksana Genzer, M.D.
• Yelena Genzer, M.S.E.D.
• Geo Pharmacy Inc (Geo Pharmacy)
• Geoffroy H. Patrice, M.D., P.C.
• Dinah Kristine Cheong Geonzon, RN WHNP- BC
• Efthimios Georgakakos, M.D.
• Maria Georgakopoulos, RPH

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.

Verify at the official NPI Registry.