Organization Active NPI

Ocean Medical Diagnostics P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1770770661
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
197845 Issued in NY
Legal business name
OCEAN MEDICAL DIAGNOSTICS P.C.
Practice address
745 Ocean Pkwy
Brooklyn, NY 11230-1113
Phone
(718) 677-7776
Fax
(718) 859-5969
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Miron Fayngersh, MD
Title
President
Phone
(718) 677-7776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 215638 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 197845 NY Primary

Addresses

Primary practice location

745 Ocean Pkwy
Brooklyn, NY 11230-1113

Mailing address

745 Ocean Pkwy
Brooklyn, NY 11230-1113
Phone (718) 677-7776

National Provider Directory

National Provider Directory

Locations

745 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 677-8700

173 Old Town Rd
Staten Island, NY 10305
Phone (718) 667-0242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1770770661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-677-7776",
            "fax_number": "718-859-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-677-7776",
            "fax_number": "718-859-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN MEDICAL DIAGNOSTICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "FAYNGERSH",
        "authorized_official_first_name": "MIRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-677-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "215638",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "197845",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 25, 2007; 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.