Organization Active NPI

Ocean Breeze Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1700805876
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1981431 Issued in NY
Legal business name
OCEAN BREEZE MEDICAL P.C.
Practice address
2965 Ocean Pkwy
Suite 304
Brooklyn, NY 11235-8014
Phone
(718) 332-7916
Fax
(718) 332-7918
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Alexander Shekhter, M.D.NPI 1316924715
Title
Doctor
Phone
(718) 332-7916

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1981431 NY Primary

Addresses

Primary practice location

2965 Ocean Pkwy
Suite 304
Brooklyn, NY 11235-8014

Mailing address

3111 Ocean Pkwy
Apt 7B
Brooklyn, NY 11235-8400
Phone (718) 332-7916

Other identifiers 1

IdentifierTypeStateIssuer
03027814MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051223000047 NY Part B Supplier - Clinic/Group Practice 9234151820 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2815 Ocean Pkwy
Ste L1
Brooklyn, NY 11235
Phone (718) 332-7916

2727 Ocean Pkwy
Ste L2
Brooklyn, NY 11235
Phone (718) 332-7916

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1700805876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 OCEAN PKWY",
            "address_2": "APT 7B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358400",
            "telephone_number": "718-332-7916",
            "fax_number": "718-332-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY",
            "address_2": "SUITE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358014",
            "telephone_number": "718-332-7916",
            "fax_number": "718-332-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BREEZE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SHEKHTER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-332-7916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1981431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03027814",
            "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 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.