Organization Active NPI

Imtiaz Medical Care PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1578014197
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
IMTIAZ MEDICAL CARE PLLC
Practice address
346 Coney Island Ave Ste 50
Brooklyn, NY 11218-1804
Phone
(917) 676-0085
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Muhammad A Momen
Title
Admin Assistant
Phone
(917) 676-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

346 Coney Island Ave Ste 50
Brooklyn, NY 11218-1804

Mailing address

346 Coney Island Ave Ste 50
Brooklyn, NY 11218-1804
Phone (917) 676-0085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1578014197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 CONEY ISLAND AVE STE 50",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181804",
            "telephone_number": "917-676-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 CONEY ISLAND AVE STE 50",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181804",
            "telephone_number": "917-676-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMTIAZ MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "MOMEN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "917-676-0085"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Dec 19, 2018; 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.