Organization Active NPI

Izgel Medical Services PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1669645628
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IZGEL MEDICAL SERVICES PLLC
Practice address
2327 83Rd St
Suite a
Brooklyn, NY 11214
Phone
(718) 645-6434
Fax
(718) 382-5252
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Emerth Coburn, MDNPI 1477544096
Title
Owner
Phone
(718) 645-6434

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 1

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

Addresses

Primary practice location

2327 83Rd St
Suite a
Brooklyn, NY 11214

Mailing address

2327 83Rd St
Suite a
Brooklyn, NY 11214
Phone (718) 645-6434

National Provider Directory

National Provider Directory

Locations

2327 83rd St
Ste A
Brooklyn, NY 11214
Phone (718) 513-4577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1669645628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 83RD ST",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-645-6434",
            "fax_number": "718-382-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 83RD ST",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-645-6434",
            "fax_number": "718-382-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZGEL MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "EMERTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-645-6434",
        "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 Aug 24, 2009; 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.