Organization Active NPI

Cortes Medical Care P C

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1508053182
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212652 Issued in NY
Legal business name
CORTES MEDICAL CARE P C
Practice address
124 Bay Ridge Ave
Brooklyn, NY 11220-5109
Phone
(718) 836-2199
Fax
(718) 836-3184
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Juan A. Cortes, D.O.NPI 1508957804
Title
Physician
Phone
(718) 836-2199

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 212652 NY Primary

Addresses

Primary practice location

124 Bay Ridge Ave
Brooklyn, NY 11220-5109

Mailing address

124 Bay Ridge Ave
Brooklyn, NY 11220-5109
Phone (718) 836-2199

Other identifiers 1

IdentifierTypeStateIssuer
WEL551OtherNYMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000951 NY Part B Supplier - Clinic/Group Practice 3375446842 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1508053182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205109",
            "telephone_number": "718-836-2199",
            "fax_number": "718-836-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205109",
            "telephone_number": "718-836-2199",
            "fax_number": "718-836-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTES MEDICAL CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-836-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WEL551",
            "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 9, 2025; 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.