1771 Utica LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

1771 UTICA LLC

Practice address

1771 Utica Ave
Brooklyn, NY 11234-2120

Phone

(917) 933-4333

Fax

(917) 933-4330

NPI assigned

Apr 27, 2026

Last updated

May 20, 2026By 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

Mr. Danil Shabatay

Title

President./Ceo

Phone

(917) 933-4333

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1881530285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342120",
            "telephone_number": "917-933-4333",
            "fax_number": "917-933-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342120",
            "telephone_number": "917-933-4333",
            "fax_number": "917-933-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1771 UTICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "SHABATAY",
        "authorized_official_first_name": "DANIL",
        "authorized_official_title_or_position": "PRESIDENT./CEO",
        "authorized_official_telephone_number": "917-933-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.