Organization Active NPI

Brooklyn Medical Health & Wellness, P.C.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1548430325
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206669 Issued in NY
Legal business name
BROOKLYN MEDICAL HEALTH & WELLNESS, P.C.
Practice address
3043 Ocean Ave
Suite 104
Brooklyn, NY 11235-3497
Phone
(718) 332-7772
Fax
(718) 332-5329
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Jack Leonard Baumgarten
Title
Controller
Phone
(917) 686-7564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 206669 NY Primary

Addresses

Primary practice location

3043 Ocean Ave
Suite 104
Brooklyn, NY 11235-3497

Mailing address

PO Box 670618
Flushing, NY 11367-0618
Phone (917) 686-7564

National Provider Directory

National Provider Directory

Locations

3043 Ocean Ave Ste 104
Ste 104
Brooklyn, NY 11235
Phone (718) 258-2992

Practitioners & affiliated clinicians

Practitioners 1

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1548430325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670618",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113670618",
            "telephone_number": "917-686-7564",
            "fax_number": "718-261-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 OCEAN AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353497",
            "telephone_number": "718-332-7772",
            "fax_number": "718-332-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN MEDICAL HEALTH & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "917-686-7564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206669",
            "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 Mar 7, 2008; 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.