Concord Medical Care PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

141896 Issued in NY

Legal business name

CONCORD MEDICAL CARE PC

Practice address

741 Flushing Ave
BSMT
Brooklyn, NY 11206-4419

Phone

(646) 655-0001

Fax

(347) 844-9448

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Noel Edwin Blackman, MD

Title

President

Phone

(718) 307-5654

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1699186544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 FLUSHING AVE",
            "address_2": "BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064419",
            "telephone_number": "646-655-0001",
            "fax_number": "347-844-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 FLUSHING AVE",
            "address_2": "BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064419",
            "telephone_number": "646-655-0001",
            "fax_number": "347-844-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-307-5654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "141896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00825810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concetta a. Butera, DC, PC
• Concilium Medical, P.C.
• Concord Direct, Inc.
• Concord Family Services, Inc.
• Concord Limousine
• Concord Nursing & Rehabilitation Center
• Concord Nursing Home
• Concord Nursing Home, Inc.
• Giannina Conde, DDS
• Isabel Pilar Conde

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.