Active NPI
Metroplex Medical Care PC
- Internal Medicine Physician
- Bellerose, NY
National Provider Identifier
1750755088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 221380
- Legal business name
- METROPLEX MEDICAL CARE PC
- Practice address
- 23807 Braddock Ave
Bellerose, NY 11426-1147 - Phone
- (718) 354-8300
- Fax
- (718) 347-9100
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edouard M Belotte
- Title
- Ceo
- Phone
- (516) 835-6755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 221380 | NY | Primary |
Addresses
Primary practice location
23807 Braddock Ave
Bellerose, NY 11426-1147
Mailing address
23807 Braddock Ave
Bellerose, NY 11426-1147
Phone (718) 354-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221380 | Other | NY | STATE LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1750755088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23807 BRADDOCK AVE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114261147",
"telephone_number": "718-354-8300",
"fax_number": "718-347-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23807 BRADDOCK AVE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114261147",
"telephone_number": "718-354-8300",
"fax_number": "718-347-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPLEX MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "BELOTTE",
"authorized_official_first_name": "EDOUARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-835-6755"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "221380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "221380",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellerose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.