Organization Active NPI

Belkin Medical P.C.

  • Adolescent Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1487720553
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
211991 Issued in NY
Legal business name
BELKIN MEDICAL P.C.
Practice address
207 Berkeley PL
Brooklyn, NY 11217-3801
Phone
(646) 251-1164
Fax
(718) 398-7298
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mrs. Regina Belkin, M.D.NPI 1215105069
Title
President
Phone
(646) 251-1164

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
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X 211991 NY Primary

Addresses

Primary practice location

207 Berkeley PL
Brooklyn, NY 11217-3801

Mailing address

47 7TH Ave
#3
Brooklyn, NY 11217-3612
Phone (718) 222-0333

Other identifiers 1

IdentifierTypeStateIssuer
02204846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090121000465 NY Part B Supplier - Clinic/Group Practice 6709790983 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Locations

348 13th St
Ste 201
Brooklyn, NY 11215
Phone (718) 636-0335

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1487720553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 7TH AVE",
            "address_2": "#3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173612",
            "telephone_number": "718-222-0333",
            "fax_number": "718-222-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BERKELEY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173801",
            "telephone_number": "646-251-1164",
            "fax_number": "718-398-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELKIN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "BELKIN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-251-1164",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "211991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204846",
            "state": "NY"
        }
    ],
    "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 Jun 2, 2011; 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.