Park Slope Medical Office PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

168069 Issued in NY

Legal business name

PARK SLOPE MEDICAL OFFICE PC

Practice address

330 9TH St
Brooklyn, NY 11215-4026

Phone

(718) 832-1964

Fax

(718) 832-0526

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anjan Rau, MDNPI 1477504363

Title

Owner

Phone

(718) 832-1964

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Anjan Rau, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1477504363

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1730350653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 3RD AVE",
            "address_2": "STE 504",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096802",
            "telephone_number": "718-832-1964",
            "fax_number": "718-832-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154026",
            "telephone_number": "718-832-1964",
            "fax_number": "718-832-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "ANJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-832-1964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "168069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01237489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Slope Integrative Medicine PLCC
• Park Slope Kids Dental Care
• Park Slope Medical Associates PC
• Park Slope Medical Health Provider, PC
• Park Slope Medical Ny PC
• Park Slope Medical PLLC
• Park Slope Medical Service PC
• Park Slope Medicine, P.C.
• Park Slope Medicine, P.C.
• Park Slope Medicine, P.C.

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.