Jericho Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1850711 Issued in NY

Legal business name

JERICHO MEDICAL CARE PC

Practice address

174 Bay 29TH St # C2
Brooklyn, NY 11214-5020

Phone

(718) 676-2698

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ian Prescott, M.D.NPI 1760461776

Title

President

Phone

(718) 676-2698

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ian Dalton Prescott, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1760461776

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1659620896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH ST # C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145020",
            "telephone_number": "718-676-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH ST # C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145020",
            "telephone_number": "718-676-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-676-2698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1850711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Jeremias, SLP
• Kender Jeremie, RN
• Jeremy Schwartz LCSW PLLC
• Emilia Jerez
• Lilliana Jerez
• Sharon Jerido
• Yelena Jernigan
• Jerome & Milton Rosenblum Inc
• Jerome B. Leff, DPM, PC
• Jerome Dental PC

• All providers in Brooklyn, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.