Advanced Internal Medical Care ,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED INTERNAL MEDICAL CARE ,LLC

Practice address

1664 E 14TH St Ste 101
Brooklyn, NY 11229-1162

Phone

(718) 998-2350

Fax

(718) 998-4252

NPI assigned

May 25, 2010

Last updated

Sep 29, 2020By 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

Dr. Afshin Tavakoly, M.D.NPI 1700059680

Title

Provider

Phone

(718) 313-0438

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Afshin Tavakoly, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1700059680
  Authorized official Same address or phone

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1760701031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 E 14TH ST STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291162",
            "telephone_number": "718-313-0438",
            "fax_number": "718-396-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 E 14TH ST STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291162",
            "telephone_number": "718-998-2350",
            "fax_number": "718-998-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERNAL MEDICAL CARE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLY",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "718-313-0438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 29, 2020; 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.