Organization Active NPI

Dynasty First Medical PC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1881883874
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
217079 Issued in NY
Legal business name
DYNASTY FIRST MEDICAL PC
Practice address
2501 86TH St
Brooklyn, NY 11214-4414
Phone
(718) 333-2500
Fax
(718) 333-2835
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Arkadiy Shusterman, M.D., D.O.
Title
Medical Director
Phone
(718) 333-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 217079 NY Primary

Addresses

Primary practice location

2501 86TH St
Brooklyn, NY 11214-4414

Mailing address

2501 86TH St
Brooklyn, NY 11214-4414
Phone (718) 333-2500

National Provider Directory

National Provider Directory

Locations

2501 86th St
Brooklyn, NY 11214
Phone (718) 333-2500

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1881883874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144414",
            "telephone_number": "718-333-2500",
            "fax_number": "718-333-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144414",
            "telephone_number": "718-333-2500",
            "fax_number": "718-333-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY FIRST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "SHUSTERMAN",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-333-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "217079",
            "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 Oct 16, 2007; 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.