Organization Active NPI

Adeola R. Uthman. M.D.,P.C.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1669406906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
210407 Issued in NY
Legal business name
ADEOLA R. UTHMAN. M.D.,P.C.
Practice address
225 Parkside Ave
Brooklyn, NY 11226-1361
Phone
(718) 282-3340
Fax
(718) 469-4616
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adeola R Uthman, M.D.
Title
President
Phone
(718) 282-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 210407 NY Primary

Addresses

Primary practice location

225 Parkside Ave
Brooklyn, NY 11226-1361

Mailing address

225 Parkside Ave
Brooklyn, NY 11226-1361
Phone (718) 282-3340

National Provider Directory

National Provider Directory

Locations

225 Parkside Ave
Ste 1C
Brooklyn, NY 11226
Phone (718) 282-3340

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669406906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PARKSIDE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261361",
            "telephone_number": "718-282-3340",
            "fax_number": "718-469-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PARKSIDE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261361",
            "telephone_number": "718-282-3340",
            "fax_number": "718-469-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEOLA R. UTHMAN. M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UTHMAN",
        "authorized_official_first_name": "ADEOLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-282-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "210407",
            "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 Aug 22, 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.