Active NPI
Kate Motvitsky
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1750603221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053641
- Practice address
- 9408 3Rd Ave
Brooklyn, NY 11209-6804 - Phone
- (718) 748-1673
- Fax
- (718) 748-1760
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053641 | NY | Primary |
Addresses
Primary practice location
9408 3Rd Ave
Brooklyn, NY 11209-6804
Mailing address
9408 3Rd Ave
Brooklyn, NY 11209-6804
Phone (718) 748-1673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053641 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1750603221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096804",
"telephone_number": "718-748-1673",
"fax_number": "718-748-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9408 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096804",
"telephone_number": "718-748-1673",
"fax_number": "718-748-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTVITSKY",
"first_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053641",
"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 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.