Active NPI
Amra Medical , P.C
- Legal Medicine
- Brooklyn, NY
National Provider Identifier
1497095822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- Legal business name
- AMRA MEDICAL , P.C
- Practice address
- 284 Avenue X
Brooklyn, NY 11223-5934 - Phone
- (718) 645-3405
- Fax
- (718) 645-3404
- NPI assigned
- Feb 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sergey Petrov, MD
- Title
- Medical Doctor
- Phone
- (718) 645-3405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | Primary |
Addresses
Primary practice location
284 Avenue X
Brooklyn, NY 11223-5934
Mailing address
284 Avenue X
Brooklyn, NY 11223-5934
Phone (718) 645-3405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TF-3104283 | Other | NY | NY STATE DEPARTMENT OF TAXATION AND FINANCE |
National Provider Directory
National Provider DirectoryLocations
284 Avenue X
Brooklyn, NY 11223
Phone (718) 645-3398
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1699014795
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1851327928
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1053721134
-
- Neuromusculoskeletal Medicine & OMM Physician
- Brooklyn, NY
- NPI 1356423826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361404800000",
"number": "1497095822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235934",
"telephone_number": "718-645-3405",
"fax_number": "718-645-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235934",
"telephone_number": "718-645-3405",
"fax_number": "718-645-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMRA MEDICAL , P.C",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A",
"authorized_official_last_name": "PETROV",
"authorized_official_first_name": "SERGEY",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "718-645-3405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE DEPARTMENT OF TAXATION AND FINANCE",
"identifier": "TF-3104283",
"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 Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.