Shoreline Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

240502 Issued in NY

Legal business name

SHORELINE MEDICAL SERVICES PC

Practice address

2015 Bath Ave
Brooklyn, NY 11214-4857

Phone

(718) 266-3399

Fax

(718) 266-2773

NPI assigned

Oct 3, 2008

Last updated

Oct 6, 2008By 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

Dr. Leslie Rose McCrary-Etuk, M.D.

Title

Medical Director

Phone

(718) 266-3399

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tatyana Filenko, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1982802849
  NPD (past)

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1841441292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144857",
            "telephone_number": "718-266-3399",
            "fax_number": "718-266-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144857",
            "telephone_number": "718-266-3399",
            "fax_number": "718-266-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MCCRARY-ETUK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-266-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shorefront Jewish Geriatric Center Inc.
• Shorefront Jewish Geriatric Dba MJGC Homecare
• Shorefront Medical Care
• Shorefront Operating LLC
• Shorefront Operating LLC (Seagate Rehabilitation and Health Care Center)
• Shoreview Specialty Inc (Regal remedies Pharmacy)
• Eric Grant Shorey, LP
• Eric Shork, PT
• Igor Shorman, M.D
• Victoriya Shorman, DDS

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.