Brooklyn Eye Plastics MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

260895 Issued in NY

Legal business name

BROOKLYN EYE PLASTICS MD PLLC

Practice address

115 Prospect Park W
Brooklyn, NY 11215-3710

Phone

(718) 960-6389

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Chaneve Jeanniton, M.D.

Title

President/ Owner

Phone

(718) 960-6389

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marcia Ellias

  • Clinical Psychologist
  • New York, NY
  • NPI 1770529968
  NPD (past)
• Jeffrey Scott Fine, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1255387965
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1801220256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153710",
            "telephone_number": "718-960-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153710",
            "telephone_number": "718-960-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN EYE PLASTICS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "JEANNITON",
        "authorized_official_first_name": "CHANEVE",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "718-960-6389",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooklyn Entrepreneurs Inc
• Brooklyn Eye and Ear Medical PC
• Brooklyn Eye Surgery Center LLC
• Brooklyn Family Dental P.C. (The Junction Family Dental)
• Brooklyn Family Health Medicine PC
• Brooklyn Family Health NP & RN PLLC
• Brooklyn Family Medical Associates MD PC

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.