Manana Petrov Primary Medical Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

214204 Issued in NY

Legal business name

MANANA PETROV PRIMARY MEDICAL CARE, PC

Practice address

353 Ocean Ave
Brooklyn, NY 11226-1308

Phone

(718) 940-2100

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Manana PetrovNPI 1881620227

Title

President

Phone

(718) 940-2100

Specialties & licenses 1

Addresses

Tax ID family

Manana Petrov Primary Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manana Petrov Primary Medical Care, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1508017062
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manana Petrov, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1881620227
  NPD Authorized official
• Pankaj Khullar, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1497035588
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1609948140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261308",
            "telephone_number": "718-940-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANANA PETROV PRIMARY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "MANANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-940-2100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anecia Manaiza
• Bella Manakhimova
• Judy Tricia Manalili
• Dineo Manamolela, RN
• Manana Petrov Primary Medical Care, PC
• Meghan Louise Manangon, RN, IBCLC
• Mikhail Manasherov, PMHNP
• Manashir Ruvinov Family Health NP PC
• Alissa Manashirov
• Lyubov Manashirova

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 21, 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.