Ocean Blue Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCEAN BLUE MEDICAL PC

Practice address

2179 E 3Rd St FL 1
Brooklyn, NY 11223-4820

Phone

(347) 541-1020

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Jack Janani, MDNPI 1285047092

Title

Medical Director

Phone

(347) 541-1020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Jack Janani, M.D.

  • Hospitalist Physician
  • Brooklyn, NY
  • NPI 1285047092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1861094492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 E 3RD ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 E 3RD ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234820",
            "telephone_number": "347-541-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BLUE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "JANANI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-541-1020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Avenue Medical Office P.C
• Ocean Avenue Medical Practice, PC
• Ocean Avenue Medical, PC
• Ocean Avenue Podiatry PC
• Ocean Bay Physical Therapy PLLC
• Ocean Breeze Medical P.C.
• Ocean Chemists Inc
• Ocean Chiropractic Care, P.C
• Ocean Dental Associates, PLLC
• Ocean Eye Care Medical PC

• 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 Nov 9, 2020; 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.