Flatbush Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

123637 Issued in NY

Legal business name

FLATBUSH MEDICAL PC

Practice address

1576 Flatbush Ave
Brooklyn, NY 11210-3030

Phone

(347) 533-8530

Fax

(347) 533-8533

NPI assigned

Feb 28, 2011

Organization subpart

No

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

Authorized official

Name

Ernesto Lopez, MD

Title

Medical Director

Phone

(347) 533-8530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1689971616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103030",
            "telephone_number": "347-533-8530",
            "fax_number": "347-533-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103030",
            "telephone_number": "347-533-8530",
            "fax_number": "347-533-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-533-8530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "123637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flatbush Family Dental Care
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• Flatbush Medical Care PC
• Flatbush Medical Heights Services P.C.
• Flatbush Medical Plaza, P.C.
• Flatbush Medical Services P.C.
• Flatbush Optical of Starrette City
• Flatbush Optimetric PC
• Flatbush Pharmacy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.