NPIMap

Organization Active NPI

Collins Wellcare Medical, P.C.

  • Neurological Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1487830238
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
148940 Issued in NY
Legal business name
COLLINS WELLCARE MEDICAL, P.C.
Practice address
7616 Bay Pkwy Ste 1
Brooklyn, NY 11214-1516
Phone
(718) 232-1910
Fax
(718) 232-1932
NPI assigned
Jan 10, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Ronald Leslie Collins
Title
President
Phone
(718) 300-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 148940 NY Primary

Addresses

Primary practice location

7616 Bay Pkwy Ste 1
Brooklyn, NY 11214-1516

Mailing address

7616 Bay Pkwy Ste 1
Brooklyn, NY 11214-1516
Phone (718) 232-1910

National Provider Directory

National Provider Directory

Locations

7616 Bay Pkwy
#1
Brooklyn, NY 11214
Phone (516) 225-9059

7616 Bay Pkwy
Ste 1
Brooklyn, NY 11214
Phone (718) 232-1910

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1487830238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 BAY PKWY STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-232-1910",
            "fax_number": "718-232-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 BAY PKWY STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-232-1910",
            "fax_number": "718-232-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS WELLCARE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-300-7130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "148940",
            "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 31, 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.