NPIMap

Organization Active NPI

Doctor's Medical P.C

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1760670152
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
235336-1 Issued in NY
Legal business name
DOCTOR'S MEDICAL P.C
Practice address
2968 Avenue X
Brooklyn, NY 11235-1808
Phone
(718) 769-4988
Fax
(718) 769-4415
NPI assigned
Oct 10, 2007
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Moustafa O Elsheshtawy, MDNPI 1659711091
Title
Ceo
Phone
(917) 704-6682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 235336-1 NY Primary

Addresses

Primary practice location

2968 Avenue X
Brooklyn, NY 11235-1808

Mailing address

2968 Avenue X
Brooklyn, NY 11235-1808
Phone (718) 769-4988

Other identifiers 1

IdentifierTypeStateIssuer
101050117MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000296 NY Part B Supplier - Clinic/Group Practice 7416005103 Receives reassigned benefits from 23 practitioners
Practice locations: Brooklyn, NY; New York, NY; East Meadow, NY; Astoria, NY

National Provider Directory

National Provider Directory
Tax ID family
Doctor's Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

330 Neptune Ave
Brooklyn, NY 11235
Phone (718) 646-0200

1947 Front St
Ste 1
East Meadow, NY 11554
Phone (718) 769-4988

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1760670152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351808",
            "telephone_number": "718-769-4988",
            "fax_number": "718-769-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351808",
            "telephone_number": "718-769-4988",
            "fax_number": "718-769-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "ELSHESHTAWY",
        "authorized_official_first_name": "MOUSTAFA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-704-6682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "235336-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101050117",
            "state": "NY"
        }
    ],
    "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 Nov 19, 2025; 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.