Active NPI
Ozone Park Medical Care
- Legal Medicine
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 230021
- Legal business name
- OZONE PARK MEDICAL CARE
- Practice address
- 1219 Liberty Ave
Brooklyn, NY 11208-3411 - Phone
- (718) 986-5802
- NPI assigned
- Dec 11, 2006
- Last updated
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad M Rahman
- Title
- Sole Proprietor
- Phone
- (718) 986-5802
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 230021 | NY | Primary |
Addresses
Primary practice location
1219 Liberty Ave
Brooklyn, NY 11208-3411
Mailing address
1219 Liberty Ave
Brooklyn, NY 11208-3411
Phone (718) 986-5802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02526630 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Ozone Park Medical Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356688667
Practitioners & affiliated clinicians
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.
-
- Specialist
- Brooklyn, NY
- NPI 1770641391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1699835884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112083411",
"telephone_number": "718-986-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112083411",
"telephone_number": "718-986-5802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OZONE PARK MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "718-986-5802"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "230021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02526630",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.