Organization Active NPI

Regine Medical PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1497294193
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
255151 Issued in NY
Legal business name
REGINE MEDICAL PLLC
Practice address
2462 Flatbush Ave
#1
Brooklyn, NY 11234-5013
Phone
(718) 252-0818
Fax
(631) 366-0391
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Braulio F Cosme-Thormann, MD
Title
Owner
Phone
(718) 252-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 255151 NY Primary

Addresses

Primary practice location

2462 Flatbush Ave
#1
Brooklyn, NY 11234-5013

Mailing address

2462 Flatbush Ave
#1
Brooklyn, NY 11234-5013
Phone (718) 252-0818

National Provider Directory

National Provider Directory

Locations

2462 Flatbush Ave
Ste 1
Brooklyn, NY 11234
Phone (718) 240-5472

3065 Brighton 7th St
Brooklyn, NY 11235
Phone (646) 226-7081

7535 31st Ave
Flushing, NY 11370

8610 Roosevelt Ave
Ste 2B
Jackson Heights, NY 11372

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": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1497294193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 FLATBUSH AVE",
            "address_2": "#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345013",
            "telephone_number": "718-252-0818",
            "fax_number": "631-366-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 FLATBUSH AVE",
            "address_2": "#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345013",
            "telephone_number": "718-252-0818",
            "fax_number": "631-366-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "COSME-THORMANN",
        "authorized_official_first_name": "BRAULIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-252-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "255151",
            "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 Feb 16, 2017; 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.