Organization Active NPI

Is Total Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1588715668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IS TOTAL MEDICAL PC
Practice address
1009 Brighton Beach Ave
Ste 1a
Brooklyn, NY 11235-5606
Phone
(718) 332-3200
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pavel Yutsis, MD
Title
President
Phone
(718) 332-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1009 Brighton Beach Ave
Ste 1a
Brooklyn, NY 11235-5606

Mailing address

1009 Brighton Beach Ave
Ste 1a
Brooklyn, NY 11235-5606
Phone (718) 332-3200

National Provider Directory

National Provider Directory

Locations

1009 Brighton Beach Ave
Ste 1A
Brooklyn, NY 11235
Phone (718) 332-3200

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588715668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355606",
            "telephone_number": "718-332-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355606",
            "telephone_number": "718-332-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IS TOTAL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUTSIS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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 Aug 22, 2020; 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.