Island Medical Consilium PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

280743 Issued in NY

Legal business name

ISLAND MEDICAL CONSILIUM PLLC

Practice address

2279 Coney Island Ave
Brooklyn, NY 11223-3337

Phone

(718) 998-9890

NPI assigned

Dec 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Anatoly Meerovich, M.D.

Title

Sole MBR

Phone

(718) 998-9890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1831564335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL CONSILIUM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "MEEROVICH",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "718-998-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "280743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigora Islambekova
• Island Ambulatory Surgery Center
• Island Emergency Medical Services PC
• Island Express Pharmacy Inc
• Island Heights Pediatrics PC
• Island Musculoskeletal Care MD PC
• Island Musculoskeletal Care, M.D., P.C.
• Island One Occupational Therapy, PC
• Island Pharmacy & Surgical Inc
• Island Pharmacy & Surgical Inc.

• 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 Dec 9, 2015; 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.