Organization Active NPI

Maimonides Community Physician Practice FPP

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1619389210
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MAIMONIDES COMMUNITY PHYSICIAN PRACTICE FPP
Practice address
8210 18TH Ave
Brooklyn, NY 11214-2901
Phone
(718) 283-8773
NPI assigned
May 30, 2014
Last updated
May 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Martin Cammer
Title
Director
Phone
(718) 283-8773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NY Primary

Addresses

Primary practice location

8210 18TH Ave
Brooklyn, NY 11214-2901

Mailing address

8210 18TH Ave
Brooklyn, NY 11214-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141230002630 NY Part B Supplier - Clinic/Group Practice 5991028748 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1911 Avenue L
#1
Brooklyn, NY 11230

1911 Avenue L
Fl 1
Brooklyn, NY 11230

2275 Coleman St
Ste 6
Brooklyn, NY 11234

9823 4th Ave
Brooklyn, NY 11209
Phone (347) 745-2828

Practitioners & affiliated clinicians

Practitioners 4

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": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1619389210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142901",
            "telephone_number": "718-283-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES COMMUNITY PHYSICIAN PRACTICE FPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "CAMMER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-283-8773"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "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 May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.