Organization Active NPI

Ajs Brooklyn Medical Practice PC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1619626454
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AJS BROOKLYN MEDICAL PRACTICE PC
Practice address
655 Morris Ave # 2
Bronx, NY 10451-4898
Phone
(347) 736-9046
NPI assigned
Mar 21, 2022
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Lyle Honig
Title
Cfo
Phone
(323) 860-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

655 Morris Ave # 2
Bronx, NY 10451-4898

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

National Provider Directory

National Provider Directory
Tax ID family
Ajs Brooklyn Medical Practice PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1619626454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MORRIS AVE # 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514898",
            "telephone_number": "347-736-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJS BROOKLYN MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "HONIG",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-860-2326"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.