Organization Active NPI

Harold Fritz Kerolle, MD, PC

  • Corporate Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1780834739
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
189432 Issued in OK
Legal business name
HAROLD FRITZ KEROLLE, MD, PC
Practice address
1050 Ocean Ave Ste A1
Brooklyn, NY 11226-9205
Phone
(718) 434-2992
Fax
(718) 434-2997
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Harold Fritz Kerolle, MD
Title
President
Phone
(718) 434-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 189432 OK Primary

Addresses

Primary practice location

1050 Ocean Ave Ste A1
Brooklyn, NY 11226-9205

Mailing address

1050 Ocean Ave Ste A1
Brooklyn, NY 11226-9205
Phone (718) 434-2992

Other identifiers 1

IdentifierTypeStateIssuer
01432824MedicaidNY

National Provider Directory

National Provider Directory

Locations

1050 Ocean Ave
Ste A1
Brooklyn, NY 11226
Phone (718) 434-2992

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1780834739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OCEAN AVE STE A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112269205",
            "telephone_number": "718-434-2992",
            "fax_number": "718-434-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OCEAN AVE STE A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112269205",
            "telephone_number": "718-434-2992",
            "fax_number": "718-434-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD FRITZ KEROLLE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "KEROLLE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "FRITZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "OK",
            "license": "189432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432824",
            "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 Sep 26, 2008; 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.