Organization Active NPI

Tibian Abramovitz Physician PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1538358403
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
166539 Issued in NY
Legal business name
TIBIAN ABRAMOVITZ PHYSICIAN PC
Practice address
3131 Kings Hwy Ste C5
Brooklyn, NY 11234-2643
Phone
(718) 252-2500
Fax
(718) 252-4525
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Tibian Abramovitz, MD
Title
President
Phone
(718) 252-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 166539 NY Primary

Addresses

Primary practice location

3131 Kings Hwy Ste C5
Brooklyn, NY 11234-2643

Mailing address

3131 Kings Hwy Ste C5
Brooklyn, NY 11234-2643
Phone (718) 252-2500

National Provider Directory

National Provider Directory

Locations

3131 Kings Hwy
Ste C5
Brooklyn, NY 11234
Phone (212) 844-1694

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1538358403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY STE C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342643",
            "telephone_number": "718-252-2500",
            "fax_number": "718-252-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY STE C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342643",
            "telephone_number": "718-252-2500",
            "fax_number": "718-252-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBIAN ABRAMOVITZ PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "ABRAMOVITZ",
        "authorized_official_first_name": "TIBIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-252-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166539",
            "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 Oct 17, 2007; 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.