Downstate Medical Services, P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

180953 Issued in NY

Legal business name

DOWNSTATE MEDICAL SERVICES, P.C

Practice address

490 New York Ave
LB1
Brooklyn, NY 11225-4264

Phone

(718) 613-1500

Fax

(718) 613-1444

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dexter A McKenzie, M.D.NPI 1871512574

Title

President

Phone

(718) 613-1500

Specialties & licenses 1

Addresses

Locations

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.

• Dexter Anthony McKenzie, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871512574
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1558529610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NEW YORK AVE",
            "address_2": "LB1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254264",
            "telephone_number": "718-613-1500",
            "fax_number": "718-613-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NEW YORK AVE",
            "address_2": "LB1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254264",
            "telephone_number": "718-613-1500",
            "fax_number": "718-613-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNSTATE MEDICAL SERVICES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-613-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "180953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downstate Foot and Ankle Podiatry, PC
• Downstate Medical Care, P.C.
• Downstate Medical Center
• Downstate Medical Center
• Downstate Medical PC
• Downstate Medical Services, PC
• Downstate Medical Supply
• Downstate Mental Hygiene Associates
• Downstate Ophthalmology Associates, PC
• Downstate Perinatal Associate P.C.

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.