NPIMap

Organization Active NPI

Idmed Care PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1518174267
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
175306 Issued in NY
Legal business name
IDMED CARE PLLC
Practice address
142 Joralemon St
Ste 9B
Brooklyn, NY 11201
Phone
(718) 858-1732
Fax
(718) 596-3332
NPI assigned
May 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ofelia V Calubiran, MDNPI 1487770574
Title
Owner Sole Member
Phone
(718) 858-1732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 175306 NY Primary
Infectious Disease Physician 207RI0200X 175306 NY

Addresses

Primary practice location

142 Joralemon St
Ste 9B
Brooklyn, NY 11201

Mailing address

PO Box 23424
Brooklyn, NY 11202
Phone (718) 858-1732

Other identifiers 1

IdentifierTypeStateIssuer
0162374MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1518174267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23424",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11202",
            "telephone_number": "718-858-1732",
            "fax_number": "718-596-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "STE 9B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-858-1732",
            "fax_number": "718-596-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDMED CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CALUBIRAN",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER SOLE MEMBER",
        "authorized_official_telephone_number": "718-858-1732",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175306",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "175306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162374",
            "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 Sep 11, 2025; 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.