Organization Active NPI

Comprehensive Medical Care Service, PLLC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1619403177
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPREHENSIVE MEDICAL CARE SERVICE, PLLC
Practice address
260 Saint Nicholas Ave
Ground FL
Brooklyn, NY 11237-5430
Phone
(347) 240-8632
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Bibi Ishmael
Title
Staff
Phone
(347) 240-8632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

260 Saint Nicholas Ave
Ground FL
Brooklyn, NY 11237-5430

Mailing address

PO Box 1422
New York, NY 10028-0012
Phone (347) 240-8632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1619403177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280012",
            "telephone_number": "347-240-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SAINT NICHOLAS AVE",
            "address_2": "GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375430",
            "telephone_number": "347-240-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CARE SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "ISHMAEL",
        "authorized_official_first_name": "BIBI",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "347-240-8632"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 3, 2017; 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.