NPIMap

Organization Active NPI

Complete Express Medical PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1649767013
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COMPLETE EXPRESS MEDICAL PC
Practice address
3047 Avenue U Ste 2
Brooklyn, NY 11229-5144
Phone
(347) 702-4066
Fax
(347) 702-4065
NPI assigned
Apr 20, 2018
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Svetlana Fish, MDNPI 1396762472
Title
President
Phone
(917) 318-3062

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3047 Avenue U Ste 2
Brooklyn, NY 11229-5144

Mailing address

3047 Avenue U Ste 2
Brooklyn, NY 11229-5144
Phone (347) 702-4066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815002678 NY Part B Supplier - Clinic/Group Practice 0143579797 Receives reassigned benefits from 23 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2602 Avenue U
Unit 238
Brooklyn, NY 11229

3047 Avenue U
Brooklyn, NY 11229

3047 Avenue U
Ste 2
Brooklyn, NY 11229
Phone (347) 702-4066

4300 Hylan Blvd
Ste 1D
Staten Island, NY 10312

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1649767013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 AVENUE U STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295144",
            "telephone_number": "347-702-4066",
            "fax_number": "347-702-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 AVENUE U STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295144",
            "telephone_number": "347-702-4066",
            "fax_number": "347-702-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EXPRESS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-318-3062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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 Nov 12, 2019; 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.