Medical Plaza of Boro Park PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL PLAZA OF BORO PARK PC

Practice address

1266 51St St
Brooklyn, NY 11219-3517

Phone

(718) 269-5151

NPI assigned

Nov 9, 2009

Last updated

Feb 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josef Shimonov, MDNPI 1346497773

Title

Doctor

Phone

(718) 269-5151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josef Shimonov, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346497773
  Medicare reassignment NPD Authorized official
• Richard David Fisse, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1831275569
  NPD (past)
• Chihee Christine Huh, D.O.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1992718621
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1821325036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11214 69TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753922",
            "telephone_number": "718-269-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193517",
            "telephone_number": "718-269-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA OF BORO PARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "SHIMONOV",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-269-5151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.