Citycare Medical P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CITYCARE MEDICAL P.C.

Practice address

4119 18TH Ave
Brooklyn, NY 11218-5709

Phone

(718) 245-6042

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kerill Pochetuhen, DO

Title

President

Phone

(718) 245-6042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1689197451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185709",
            "telephone_number": "718-245-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYCARE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "POCHETUHEN",
        "authorized_official_first_name": "KERILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-245-6042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City-Pro Group, Inc
• City-Pro Group, Inc.
• Cityblock Ipa Ny, LLC
• Cityblock Medical Practice NC, P.C.
• Citycare Agency Corp
• Cityline Pharmacy Corp.
• Citylink Psychological Services, PLLC
• Citywide Dental Care PC
• Arunas Jonas Ciuberkis, CCC, SLP
• Stacey Cius

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.