Brooklyn Medical Systems Ipa 2

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

BROOKLYN MEDICAL SYSTEMS IPA 2

Practice address

9201 4TH Ave FL 4
Brooklyn, NY 11209-7065

Phone

(718) 748-7316

Fax

(718) 748-5696

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Kelly

Title

Chief Executive Officer

Phone

(718) 748-7316

Specialties & licenses 1

Addresses

Tax ID family

Brooklyn Medical Systems Ipa 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New York Premier Ipa

  • Exclusive Provider Organization
  • Brooklyn, NY
  • NPI 1881026987
  NPD tax ID

Locations

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1487998480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-748-7316",
            "fax_number": "718-748-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-748-7316",
            "fax_number": "718-748-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN MEDICAL SYSTEMS IPA 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-748-7316",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Medical of New York LLC
• Brooklyn Medical Office PLLC
• Brooklyn Medical P.L.L.C
• Brooklyn Medical Practice PC
• Brooklyn Medical Services of Ny
• Brooklyn Mint Dental, PLLC
• Brooklyn Motion Chiropractic PC
• Brooklyn Nephrology Group, P.C.
• Brooklyn Neurological Associates PC
• Brooklyn North Creative Arts Therapy PLLC

• Exclusive Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.