Organization Active NPI

Intermed Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1710045307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERMED MEDICAL PC
Practice address
7206 Bay Pkwy
Brooklyn, NY 11204-6026
Phone
(718) 232-9191
Fax
(718) 232-5797
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Kleynerman, MD
Title
Owner
Phone
(718) 232-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7206 Bay Pkwy
Brooklyn, NY 11204-6026

Mailing address

7206 Bay Pkwy
Brooklyn, NY 11204-6026
Phone (718) 232-9191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710045307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046026",
            "telephone_number": "718-232-9191",
            "fax_number": "718-232-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046026",
            "telephone_number": "718-232-9191",
            "fax_number": "718-232-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEYNERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.