Brooklyn Medical Office PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BROOKLYN MEDICAL OFFICE PLLC

Practice address

1681 44TH St
Brooklyn, NY 11204-1049

Phone

(845) 662-2404

NPI assigned

Mar 1, 2022

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blimy Jacobs

Title

Authrorized Official

Phone

(845) 662-2404

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Lliguisupa

  • Medical Physician Assistant
  • Whitestone, NY
  • NPI 1659176899
  NPD
• Maxiana Louis, NP-C

  • Primary Care Nurse Practitioner
  • Whitestone, NY
  • NPI 1760152912
  NPD
• Ernst Paul Jr., MD

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1851311989
  NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1760138648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041049",
            "telephone_number": "845-662-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041049",
            "telephone_number": "845-662-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BLIMY",
        "authorized_official_title_or_position": "AUTHRORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-662-2404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Medical Eye Associate, LLC
• Brooklyn Medical Health & Wellness, P.C.
• Brooklyn Medical Imaging PC
• Brooklyn Medical Infusions PC
• Brooklyn Medical of New York LLC
• Brooklyn Medical P.L.L.C
• Brooklyn Medical Practice PC
• Brooklyn Medical Services of Ny
• Brooklyn Medical Systems Ipa 2
• Brooklyn Mint Dental, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.