Organization Active NPI

Advanced Family Medical Care PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1720093420
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219277 Issued in NY
Legal business name
ADVANCED FAMILY MEDICAL CARE PC
Practice address
618 Avenue H Ste C1
Brooklyn, NY 11230-2294
Phone
(718) 253-9110
Fax
(718) 253-0767
NPI assigned
Jul 30, 2006
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Helen Zelmo
Title
Cred
Phone
(917) 731-3008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219277 NY Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

618 Avenue H Ste C1
Brooklyn, NY 11230-2294

Mailing address

618 Avenue H Apt C1
Brooklyn, NY 11230-2294
Phone (718) 253-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111203000051 NY Part B Supplier - Clinic/Group Practice 2163312539 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1720093420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 AVENUE H APT C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302294",
            "telephone_number": "718-253-9110",
            "fax_number": "718-253-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 AVENUE H STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302294",
            "telephone_number": "718-253-9110",
            "fax_number": "718-253-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "ZELMO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CRED",
        "authorized_official_telephone_number": "917-731-3008"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219277",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 6, 2025; 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.