NPIMap

Organization Active NPI

Ave U Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1649591306
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226668 Issued in NY
Legal business name
AVE U MEDICAL PC
Practice address
2153 E 3Rd St
Brooklyn, NY 11223-4030
Phone
(718) 339-9438
Fax
(718) 339-3251
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Philipp Pifko
Title
Billing Manager
Phone
(718) 934-9720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 226668 NY Primary

Addresses

Primary practice location

2153 E 3Rd St
Brooklyn, NY 11223-4030

Mailing address

2153 E 3Rd St
Brooklyn, NY 11223-4030
Phone (718) 339-9438

Other identifiers 1

IdentifierTypeStateIssuer
02351251MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Ave U Medical Care 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": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1649591306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234030",
            "telephone_number": "718-339-9438",
            "fax_number": "718-339-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234030",
            "telephone_number": "718-339-9438",
            "fax_number": "718-339-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE U MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "PIFKO",
        "authorized_official_first_name": "PHILIPP",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-934-9720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02351251",
            "state": "NY"
        }
    ],
    "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 Jun 17, 2010; 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.