Organization Active NPI

East New York Medical Healthcare PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1669099115
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST NEW YORK MEDICAL HEALTHCARE PC
Practice address
2673 Atlantic Ave
Brooklyn, NY 11207-2801
Phone
(347) 450-3537
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dr. Kamal Tadros, MD
Title
President
Phone
(516) 697-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2673 Atlantic Ave
Brooklyn, NY 11207-2801

Mailing address

3415 Parsons Blvd Apt 7E
Flushing, NY 11354-4611
Phone (516) 697-3799

National Provider Directory

National Provider Directory

Locations

2673 Atlantic Ave
Brooklyn, NY 11207
Phone (347) 450-3537

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1669099115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 PARSONS BLVD APT 7E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544611",
            "telephone_number": "516-697-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072801",
            "telephone_number": "347-450-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NEW YORK MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-697-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Jul 1, 2020; 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.