Primary Care Choice Medical Testing P.C

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

211094-1 Issued in NY

Legal business name

PRIMARY CARE CHOICE MEDICAL TESTING P.C

Practice address

211 Richmond St
Brooklyn, NY 11208-1945

Phone

(718) 268-2158

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Charles Master, M.D

Title

Owner

Phone

(718) 268-2158

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1669834297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX #29",
            "address_2": "3070 BRIGHTON 1ST STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RICHMOND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081945",
            "telephone_number": "718-268-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CHOICE MEDICAL TESTING P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-268-2158",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "211094-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.