Organization Active NPI

Medical Care of Ny PC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1891441226
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL CARE OF NY PC
Practice address
2244 Church Ave FL 3
Brooklyn, NY 11226-4195
Phone
(718) 352-0083
Fax
(718) 627-1525
NPI assigned
Feb 24, 2022
Organization subpart
Yes
Parent organization
MEDICAL CARE OF NY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Niberto Angel Moreno
Title
Owner
Phone
(786) 360-4768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2244 Church Ave FL 3
Brooklyn, NY 11226-4195

Mailing address

2244 Church Ave FL 3
Brooklyn, NY 11226-4195
Phone (718) 352-0083

National Provider Directory

National Provider Directory
Part of
Medical Care of Ny PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1891441226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 CHURCH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264195",
            "telephone_number": "718-352-0083",
            "fax_number": "718-627-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 CHURCH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264195",
            "telephone_number": "718-352-0083",
            "fax_number": "718-627-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE OF NY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE OF NY PC",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NIBERTO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-360-4768"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 Sep 28, 2022; 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.