Brooklyn Doc Medical P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BROOKLYN DOC MEDICAL P.C.

Practice address

10420 Queens Blvd Ste 1de
Forest Hills, NY 11375-3629

Phone

(718) 806-1002

NPI assigned

Nov 3, 2019

Organization subpart

No

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

Authorized official

Name

Ananthakumar Thillainathan, MD

Title

Owner/MD

Phone

(516) 582-1948

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1598309569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD STE 1DE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753629",
            "telephone_number": "718-897-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD STE 1DE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753629",
            "telephone_number": "718-806-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN DOC MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-03",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "THILLAINATHAN",
        "authorized_official_first_name": "ANANTHAKUMAR",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "516-582-1948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yael Brizard
• Niritte Brodsky, M.A.
• Lisa Brody, PH.D.
• Samuel Alan Brody, MD
• Nachmy Bronstein, D.C.
• Brooklyn Nuclear Spect Imaging, P.C.
• Maxine L Brooks, CNM, NP
• Yvette Brooks, R.N.
• Fay Brown, R.D.H.
• Jacqueline Diana Brown

• Internal Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.