Brighton Beach Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

118152 Issued in NY

Legal business name

BRIGHTON BEACH MEDICAL ASSOCIATES, PC

Practice address

130 Brighton Beach Ave
Brooklyn, NY 11235-8066

Phone

(718) 946-7557

Fax

(718) 946-9680

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Harry Shapiro, MD

Title

Partner

Phone

(718) 946-7557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1881987220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3028",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118023028",
            "telephone_number": "718-946-7557",
            "fax_number": "718-946-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358066",
            "telephone_number": "718-946-7557",
            "fax_number": "718-946-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON BEACH MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-946-7557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "118152",
            "primary": true
        }
    ],
    "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 18, 2011; 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.