Central Brooklyn Medical Group PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

CENTRAL BROOKLYN MEDICAL GROUP PC

Doing business as

PREFERRED HEALTH PARTNERS / AdvantageCare Physicians

Practice address

441 9TH Ave
9TH Floor
New York, NY 10001-1623

Phone

(646) 680-2894

NPI assigned

May 18, 2006

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlena Simpson, CPMSM

Title

Avp - Credentialing

Phone

(646) 680-2894

Specialties & licenses 15

Addresses

Other identifiers 1

Other names 1

• PREFERRED HEALTH PARTNERS / AdvantageCare Physicians Doing business as

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Afzal Ahmad, M.D.

  • Pulmonary Disease Physician
  • Bronx, NY
  • NPI 1811125339

  Internal Medicine

  NPD (past)
• Nabil Alacha, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1588625388
  NPD (past)
• Nina Alexandrova, MD

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1962466250
  NPD (past)
• Jaime Arnau, PA

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1134328875
  NPD (past)
• Cindy L Bird- Kue, RPA C

  • Physician Assistant
  • New York, NY
  • NPI 1447461017
  NPD (past)
• David E Blaize, PA

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1821155870
  NPD (past)
• Ruth Bosse

  • Surgical Physician Assistant
  • Brooklyn, NY
  • NPI 1669843371
  NPD (past)
• Stephen S Carryl, M.D.;P.C.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1336192228
  NPD (past)
• Ronald Moore Chase, M.D.

  • Specialist
  • Brooklyn, NY
  • NPI 1699736561
  NPD (past)
• Brian Ira Collet, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Howard Beach, NY
  • NPI 1902858319

  Multi-Specialty

  NPD (past)
• Matias M Dcosta, MD

  • Internal Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1053374827
  NPD (past)
• Ellen Diane Drexler, M.D.

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1952301855
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1689627184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 9TH AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011623",
            "telephone_number": "646-680-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 9TH AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011623",
            "telephone_number": "646-680-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BROOKLYN MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "AVP - CREDENTIALING",
        "authorized_official_telephone_number": "646-680-2894",
        "authorized_official_credential": "CPMSM"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03478728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREFERRED HEALTH PARTNERS / AdvantageCare Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy Physician in New York, NY
• Providers in New York, NY by specialty
• Allergy Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.