Ocean Parkway Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200551 Issued in NY

Legal business name

OCEAN PARKWAY MEDICAL, P.C.

Practice address

749 Ocean Pkwy
Brooklyn, NY 11230-7813

Phone

(718) 724-0900

Fax

(718) 724-1590

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Tatyana Ingberman, M.D.

Title

Internaml Medicine/Medical Director

Phone

(718) 724-0900

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1801891064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307813",
            "telephone_number": "718-724-0900",
            "fax_number": "718-724-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307813",
            "telephone_number": "718-724-0900",
            "fax_number": "718-724-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARKWAY MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "INGBERMAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "INTERNAML MEDICINE/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-724-0900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205927",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200551",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Medical Plaza P.C.
• Ocean One Physical Therapy,PC
• Ocean Parkway Endoscopy Obs
• Ocean Parkway Family Practice Associates PC
• Ocean Parkway Medical Care PC
• Ocean Parkway Pediatric Practice, PC
• Ocean Parkway Physical Therapy PC
• Ocean Radiation Oncology PC
• Ocean Rehab
• Ocean Rehab Physical Therapy P.C.

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

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