NPIMap

Organization Active NPI

Brooklyn Family Medical Care

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1871684753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
117032 Issued in NY
Legal business name
BROOKLYN FAMILY MEDICAL CARE
Practice address
60 Plaza St E
Suite E
Brooklyn, NY 11238-5040
Phone
(718) 783-3919
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clark Robert Lopez, MDNPI 1619016011
Title
Owner
Phone
(718) 783-3919

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 MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 117032 NY Primary

Addresses

Primary practice location

60 Plaza St E
Suite E
Brooklyn, NY 11238-5040

Mailing address

PO Box 274
Manhasset, NY 11030-0274
Phone (516) 627-3354

National Provider Directory

National Provider Directory

Locations

60 Plaza St E
Ste E
Brooklyn, NY 11238
Phone (718) 783-3919

60 Plaza St E
Apt 10
Brooklyn, NY 11238
Phone (718) 783-3919

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871684753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110300274",
            "telephone_number": "516-627-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLAZA ST E",
            "address_2": "SUITE E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385040",
            "telephone_number": "718-783-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN FAMILY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-783-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "117032",
            "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 Aug 22, 2020; 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.