Organization Active NPI

Park Slope Integrative Medicine PLCC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891259560
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARK SLOPE INTEGRATIVE MEDICINE PLCC
Practice address
278 9TH St
Brooklyn, NY 11215-3906
Phone
(845) 276-3155
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Dr. Mona Nayankumar Chiniwala, MDNPI 1730253675
Title
Attending Physician
Phone
(845) 276-3155

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

278 9TH St
Brooklyn, NY 11215-3906

Mailing address

230A 6TH Ave Apt 4
Brooklyn, NY 11215-1396
Phone (917) 596-9678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1891259560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230A 6TH AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151396",
            "telephone_number": "917-596-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153906",
            "telephone_number": "845-276-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE INTEGRATIVE MEDICINE PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "CHINIWALA",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "NAYANKUMAR",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "845-276-3155",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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 Jan 28, 2019; 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.