Westchester Cardiovascular PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

238300-1 Issued in MD

Legal business name

WESTCHESTER CARDIOVASCULAR PC

Doing business as

NYC Medical Plaza

Practice address

1111 Ocean Ave
Brooklyn, NY 11230-2039

Phone

(929) 321-3684

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Gorelik, MD

Title

Owner

Phone

(929) 321-3684

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NYC Medical Plaza Doing business as

Locations

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1609241637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304117",
            "telephone_number": "929-321-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302039",
            "telephone_number": "929-321-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER CARDIOVASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "GORELIK",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-321-3684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "238300-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11780525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYC Medical Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.