Active NPI
Brighton Medical PC
- Specialist
- Brooklyn, NY
National Provider Identifier
1548494669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- BRIGHTON MEDICAL PC
- Practice address
- 1180 Brighton Beach Ave
Brooklyn, NY 11235-5801 - Phone
- (718) 833-8777
- Fax
- (718) 646-8400
- NPI assigned
- May 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irene Kakossian, M.D.
- Title
- Physician/Owner
- Phone
- (718) 833-8777
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
1180 Brighton Beach Ave
Brooklyn, NY 11235-5801
Mailing address
8033 Shore Rd
Brooklyn, NY 11209-2839
Phone (718) 833-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477215 | Other | NY | THE JOINT COMMISSION |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1558381954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484006400000",
"number": "1548494669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8033 SHORE RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092839",
"telephone_number": "718-833-8777",
"fax_number": "718-646-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BRIGHTON BEACH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355801",
"telephone_number": "718-833-8777",
"fax_number": "718-646-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTON MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-04",
"last_updated": "2017-01-10",
"status": "A",
"authorized_official_last_name": "KAKOSSIAN",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "718-833-8777",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE JOINT COMMISSION",
"identifier": "477215",
"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 Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.