Ocean Parkway Family Practice Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

140271 Issued in NY

Legal business name

OCEAN PARKWAY FAMILY PRACTICE ASSOCIATES PC

Practice address

514 Avenue M
Brooklyn, NY 11230-4648

Phone

(718) 339-5749

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Tarek Hegazi, MDNPI 1326104662

Title

Owner

Phone

(718) 339-5749

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Tarek Hegazi, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1326104662
  Medicare reassignment NPD Authorized official
• Steven Marc Simons, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1396891487
  NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1730458720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304648",
            "telephone_number": "718-339-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304648",
            "telephone_number": "718-339-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARKWAY FAMILY PRACTICE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "HEGAZI",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-339-5749",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "140271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 8, 2014; 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.