NPIMap

Organization Active NPI

Comprehensive Oceanview Medical Care, PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1710042767
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229585 Issued in NY
Legal business name
COMPREHENSIVE OCEANVIEW MEDICAL CARE, PC
Practice address
2500 Johnson Ave Apt 20M
Bronx, NY 10463-4946
Phone
(718) 581-0598
Fax
(718) 581-0598
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mila Yakoby, MD
Title
Director
Phone
(718) 646-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 229585 NY Primary

Addresses

Primary practice location

2500 Johnson Ave Apt 20M
Bronx, NY 10463-4946

Mailing address

105 Oriental Blvd # S1
Brooklyn, NY 11235-4124
Phone (718) 646-8100

Other identifiers 1

IdentifierTypeStateIssuer
02459947MedicaidNY

National Provider Directory

National Provider Directory

Locations

105 Oriental Blvd
#S1
Brooklyn, NY 11235

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1710042767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ORIENTAL BLVD # S1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354124",
            "telephone_number": "718-646-8100",
            "fax_number": "718-646-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 JOHNSON AVE APT 20M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634946",
            "telephone_number": "718-581-0598",
            "fax_number": "718-581-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OCEANVIEW MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "YAKOBY",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-646-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.