Omnicare Multi Specialty Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

177953 Issued in NY

Legal business name

OMNICARE MULTI SPECIALTY CENTER, LLC

Practice address

763-765 Nostrand Avenue
Brooklyn, NY 11216

Phone

(718) 774-0171

Fax

(718) 773-7470

NPI assigned

Jul 22, 2011

Organization subpart

Yes

Parent organization

BROOKLYN ANESTHESIA GROUP, P.C.As reported in NPPES

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

Authorized official

Name

Mrs. Regine Serrano, PARALEGAL

Title

Credentialing Manager

Phone

(718) 774-0171

Specialties & licenses 2

Addresses

Other names 1

• Omnicare Anesthesia, P.C. Doing business as

Part of

Brooklyn Anesthesia Group PC

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1821376005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763-765 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164203",
            "telephone_number": "718-774-0171",
            "fax_number": "718-773-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763-765 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11216",
            "telephone_number": "718-774-0171",
            "fax_number": "718-773-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE MULTI SPECIALTY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKLYN ANESTHESIA GROUP, P.C.",
        "enumeration_date": "2011-07-22",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "REGINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-774-0171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARALEGAL"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "177953",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "177953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare Anesthesia, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omni Medical Consultant PLLC
• Omni Medical Supplies LLC
• Omni Rehab
• Omnia-Cardiovascular PLLC
• Omnicare Anesthesia
• Omnicare Multi Specialty,PC
• Omnisleep LLC
• Omnui Demntal Crae, P.C.
• Enibokun Sylvia Omo-Ozigbo
• Maureen Otemure Omoaghe

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.