Organization Active NPI

Flatlands Medical and Urgent Care P.C.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1821363714
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204828 Issued in NY
Legal business name
FLATLANDS MEDICAL AND URGENT CARE P.C.
Practice address
9613 Flatlands Ave
Brooklyn, NY 11236-3711
Phone
(718) 927-1355
Fax
(718) 927-1360
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Jacquelin Antoine Belamy, M.D.NPI 1609945815
Title
Officer
Phone
(718) 927-1355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 204828 NY Primary

Addresses

Primary practice location

9613 Flatlands Ave
Brooklyn, NY 11236-3711

Mailing address

9613 Flatlands Ave
Brooklyn, NY 11236-3711
Phone (718) 927-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000432 NY Part B Supplier - Clinic/Group Practice 4486890936 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1821363714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363711",
            "telephone_number": "718-927-1355",
            "fax_number": "718-927-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363711",
            "telephone_number": "718-927-1355",
            "fax_number": "718-927-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATLANDS MEDICAL AND URGENT CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "BELAMY",
        "authorized_official_first_name": "JACQUELIN",
        "authorized_official_middle_name": "ANTOINE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-927-1355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204828",
            "primary": true
        }
    ],
    "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 Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.