Active NPI
Advanced Medical Group PC
- Pulmonary Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- ADVANCED MEDICAL GROUP PC
- Practice address
- 1958 Ocean Ave
Brooklyn, NY 11230-6719 - Phone
- (718) 645-8901
- Fax
- (718) 645-7970
- NPI assigned
- May 17, 2006
- Last updated
- Aug 20, 2019
- Organization subpart
- Yes
- Parent organization
- ADVANCED MEDICAL GROUP P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reuven Moshenyat
- Title
- President
- Phone
- (718) 645-8901
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1958 Ocean Ave
Brooklyn, NY 11230-6719
Mailing address
1958 Ocean Ave
Brooklyn, NY 11230-6719
Phone (718) 645-8901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1043941 | Advanced Medical Group PC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Advanced Medical Group PC
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Pulmonary Disease Physician
- Brooklyn, NY
- NPI 1598719585
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1528012259
-
- Anesthesiology Physician
- Huntington, NY
- NPI 1700963733
-
- Anatomic Pathology & Clinical Pathology Physician
- Staten Island, NY
- NPI 1891966693
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1558672394
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1538102389
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1346368800
-
- Family Medicine Physician
- Roslyn Heights, NY
- NPI 1275574741
-
- Neurology Physician
- Mineola, NY
- NPI 1841630118
-
- Neurology Physician
- Tampa, FL
- NPI 1982832952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566259200000",
"number": "1710939798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306719",
"telephone_number": "718-645-8901",
"fax_number": "718-645-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306719",
"telephone_number": "718-645-8901",
"fax_number": "718-645-7970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MEDICAL GROUP PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED MEDICAL GROUP P.C.",
"enumeration_date": "2006-05-17",
"last_updated": "2019-08-20",
"status": "A",
"authorized_official_last_name": "MOSHENYAT",
"authorized_official_first_name": "REUVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-645-8901",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"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 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.