Empire Aco LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EMPIRE ACO LLC

Practice address

1545 Atlantic Ave Ste 108
Brooklyn, NY 11213-1122

Phone

(347) 985-0804

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Abiola Familusi, MD

Title

Coo

Phone

(347) 985-0804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1750879193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503049",
            "telephone_number": "347-985-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE STE 108",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "347-985-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE ACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "FAMILUSI",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "347-985-0804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett Pediatric Associates
• Steven M Emmett, DO
• Miriam O Emokpae, FNP
• Erhieyovbe Emore, MD
• Emotional Wellness Mental Health Counseling PLLC
• Empire Annex
• Empire Care Medical PC
• Empire Chiropractic
• Empire Chiropractic Wellness PC
• Empire City Laboratories, Inc

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.