Prospect Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PROSPECT MEDICAL GROUP

Practice address

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Phone

(718) 613-4442

Fax

(718) 613-4885

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Darin Dunn

Title

Practice Manager

Phone

(718) 613-4442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1801010905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-4442",
            "fax_number": "718-613-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-4442",
            "fax_number": "718-613-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "718-613-4442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Heights Cardiology PLLC
• Prospect Hills Medical Care PLLC
• Prospect Kids, LLC
• Prospect Lefferts Gardens Medical PC
• Prospect Medical Care of New York, P.C.
• Prospect Park Medical Plaza PC
• Prospect Park Nursing Home
• Prospect Park Operating, LLC
• Prospect Park Psychiatry PLLC
• Prospect Psychology LLC

• All providers in Brooklyn, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.