Brooklyn Osteopathic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

219244 Issued in NY

Legal business name

BROOKLYN OSTEOPATHIC, PC

Practice address

33 Prospect Park SW
Brooklyn, NY 11215-5939

Phone

(917) 685-0187

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Laura Jane Grady, D.O.

Title

Physician/Owner

Phone

(917) 685-0187

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Bockenhauer, D.O.

  • Family Medicine Physician
  • New York, NY
  • NPI 1871670638
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1639335250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PROSPECT PARK SW",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155939",
            "telephone_number": "917-685-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PROSPECT PARK SW",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155939",
            "telephone_number": "917-685-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN OSTEOPATHIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "917-685-0187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Optometrics, PLLC
• Brooklyn Oral Surgery & Implant Center
• Brooklyn Orthodontics
• Brooklyn Orthopedic and Sports Medicine PLLC
• Brooklyn Orthopedics P.C.
• Brooklyn OT Services PLLC
• Brooklyn Pain Management PC
• Brooklyn Pediatric Care PLLC
• Brooklyn Pediatric Dentistry PC
• Brooklyn Pediatric Infectious Diseased PC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.