NPIMap

Organization Active NPI

Kel Healthcare Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1629892476
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KEL HEALTHCARE MEDICAL SERVICES PC
Practice address
1530 Bedford Ave FL 3
Brooklyn, NY 11216-4117
Phone
(631) 566-1967
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Karl E. Latortue, MDNPI 1104861558
Title
Owner/President
Phone
(631) 566-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1530 Bedford Ave FL 3
Brooklyn, NY 11216-4117

Mailing address

29 Yoakum Ave
Farmingdale, NY 11735-5056
Phone (631) 566-1967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116001294 NY Part B Supplier - Clinic/Group Practice 3971031089 Receives reassigned benefits from 14 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY; Wading River, NY; Walding River, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

2052 Richmond Rd
Ste D
Staten Island, NY 10306
Phone (929) 491-4589

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1629892476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 YOAKUM AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355056",
            "telephone_number": "631-566-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BEDFORD AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164117",
            "telephone_number": "631-566-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEL HEALTHCARE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "LATORTUE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-566-1967",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Nov 8, 2024; 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.