Organization Active NPI

Brownsville Family Medical Care,P.C.

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1679975791
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
230045 Issued in NY
Legal business name
BROWNSVILLE FAMILY MEDICAL CARE,P.C.
Practice address
2995 Ocean Parkway 2ND Floor
Brooklyn, NY 11235-8387
Phone
(718) 714-0090
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Max Noel, M.D.
Title
President
Phone
(718) 714-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 230045 NY Primary

Addresses

Primary practice location

2995 Ocean Parkway 2ND Floor
Brooklyn, NY 11235-8387

Mailing address

2995 Ocean Parkway 2ND Floor
Brooklyn, NY 11235-8387
Phone (718) 714-0090

Other identifiers 1

IdentifierTypeStateIssuer
02624091MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1679975791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 OCEAN PARKWAY 2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358387",
            "telephone_number": "718-714-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 OCEAN PARKWAY 2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358387",
            "telephone_number": "718-714-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE FAMILY MEDICAL CARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-714-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "230045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02624091",
            "state": "NY"
        }
    ],
    "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 Sep 19, 2014; 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.