Organization Active NPI

Brooklyn Medical Care Practice PC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1790144574
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BROOKLYN MEDICAL CARE PRACTICE PC
Practice address
705 Franklin Ave
Number 707
Brooklyn, NY 11238-4202
Phone
(718) 398-8700
Fax
(718) 398-5770
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Susana Dobrer
Title
Office Manager
Phone
(718) 398-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

705 Franklin Ave
Number 707
Brooklyn, NY 11238-4202

Mailing address

705 Franklin Ave
Number 707
Brooklyn, NY 11238-4202
Phone (718) 398-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503001938 NY Part B Supplier - Clinic/Group Practice 3870892458 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

705 Franklin Ave
#707
Brooklyn, NY 11238
Phone (718) 398-8700

Practitioners & affiliated clinicians

Practitioners 3

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1790144574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 FRANKLIN AVE",
            "address_2": "NUMBER 707",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384202",
            "telephone_number": "718-398-8700",
            "fax_number": "718-398-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 FRANKLIN AVE",
            "address_2": "NUMBER 707",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384202",
            "telephone_number": "718-398-8700",
            "fax_number": "718-398-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN MEDICAL CARE PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "DOBRER",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-398-8700"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Feb 22, 2016; 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.