Active NPI
Emergency Providers of Imc
- Emergency Medicine Physician
- Brooklyn, NY
National Provider Identifier
1821314022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERGENCY PROVIDERS OF IMC
- Practice address
- 1545 Atlantic Ave
Brooklyn, NY 11213-1122 - Phone
- (718) 613-4000
- NPI assigned
- Apr 13, 2010
- Organization subpart
- Yes
- Parent organization
- INTERFAITH MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Mobley
- Title
- Director Reimbursement
- Phone
- (718) 613-4000
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | |||
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | |||
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | |||
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X |
Addresses
Primary practice location
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Mailing address
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
National Provider Directory
National Provider Directory- Part of
- Interfaith Hosp ER Opd
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Brooklyn, NY
- NPI 1497815302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271116800000",
"number": "1821314022",
"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": "718-613-4000"
},
{
"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": "718-613-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY PROVIDERS OF IMC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTERFAITH MEDICAL CENTER",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A",
"authorized_official_last_name": "MOBLEY",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
"authorized_official_telephone_number": "718-613-4000"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PE0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PT0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Medical Toxicology",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.