East Brooklyn Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

188900 Issued in NY

Legal business name

EAST BROOKLYN MEDICAL GROUP PC

Practice address

1718 Pitkin Ave
Brooklyn, NY 11212-6604

Phone

(718) 485-9869

Fax

(718) 485-4213

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacques Claudel Antoine, MDNPI 1861569030

Title

Medical Doctor

Phone

(718) 485-9869

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jacques Claudel Antoine, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1861569030
  Authorized official Same address or phone

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1689871469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126604",
            "telephone_number": "718-485-9869",
            "fax_number": "718-485-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126604",
            "telephone_number": "718-485-9869",
            "fax_number": "718-485-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BROOKLYN MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "CLAUDEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-485-9869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "188900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.