Active NPI
Living-at-Home Medical, PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1760816698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 205873
- Legal business name
- LIVING-AT-HOME MEDICAL, PC
- Practice address
- 6818 Madeline CT
Brooklyn, NY 11220-5807 - Phone
- (347) 256-4213
- Fax
- (347) 517-4523
- NPI assigned
- Aug 28, 2013
- 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
- Miss Maria Bun-Ching Lee, MD
- Title
- Director
- Phone
- (347) 256-4213
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 205873 | NY | Primary |
Addresses
Primary practice location
6818 Madeline CT
Brooklyn, NY 11220-5807
Mailing address
7105 3Rd Ave
Ste 523
Brooklyn, NY 11209-1308
Phone (347) 256-4213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02611392 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7105 3rd Ave
Brooklyn, NY 11209
Phone (718) 663-1842
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1578586467
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1588185029
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1295334100
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1972346302
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1639606544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377648000000",
"number": "1760816698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 3RD AVE",
"address_2": "STE 523",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091308",
"telephone_number": "347-256-4213",
"fax_number": "347-517-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6818 MADELINE CT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205807",
"telephone_number": "347-256-4213",
"fax_number": "347-517-4523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING-AT-HOME MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "BUN-CHING",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "347-256-4213",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "205873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02611392",
"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 Aug 28, 2013; 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.