NPIMap

Organization Active NPI

Doctor's Medical P.C

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1619362803
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199870-4 Issued in NY
Legal business name
DOCTOR'S MEDICAL P.C
Practice address
2968 Avenue X
Brooklyn, NY 11235-1808
Phone
(718) 769-4988
Fax
(718) 769-4415
NPI assigned
Apr 3, 2015
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Dr. Ahmed E Elemam, MD
Title
Ceo
Phone
(718) 769-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 199870-4 NY Primary

Addresses

Primary practice location

2968 Avenue X
Brooklyn, NY 11235-1808

Mailing address

2968 Avenue X
Brooklyn, NY 11235-1808
Phone (718) 769-4988

National Provider Directory

National Provider Directory
Tax ID family
Doctor's Medical PC2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1619362803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351808",
            "telephone_number": "718-769-4988",
            "fax_number": "718-769-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351808",
            "telephone_number": "718-769-4988",
            "fax_number": "718-769-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "ELEMAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-769-4988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199870-4",
            "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 Apr 8, 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.