NPIMap

Organization Active NPI

Woodhull Medical Care PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1538326178
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
195946 Issued in NY
Legal business name
WOODHULL MEDICAL CARE PC
Practice address
825 Broadway
Brooklyn, NY 11206-7306
Phone
(718) 302-5217
Fax
(718) 302-5223
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Mr. Miguel Ramos
Title
Billing Supervisor
Phone
(718) 302-5217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 111981 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 195946 NY Primary

Addresses

Primary practice location

825 Broadway
Brooklyn, NY 11206-7306

Mailing address

825 Broadway
Brooklyn, NY 11206-7306
Phone (718) 302-5217

Other identifiers 2

IdentifierTypeStateIssuer
00202319MedicaidNY
01681552MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1538326178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067306",
            "telephone_number": "718-302-5217",
            "fax_number": "718-302-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067306",
            "telephone_number": "718-302-5217",
            "fax_number": "718-302-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "718-302-5217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "111981",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "195946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202319",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01681552",
            "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 May 1, 2009; 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.