NPIMap

Organization Active NPI

Quentin Medical, P.C

  • Ph.D. Medical Genetics
  • Brooklyn, NY
National Provider Identifier
1891711453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
QUENTIN MEDICAL, P.C
Practice address
280 Quentin Rd
Brooklyn, NY 11223-1628
Phone
(718) 380-4750
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Bernshteyn, MD
Title
Owner
Phone
(718) 380-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

280 Quentin Rd
Brooklyn, NY 11223-1628

Mailing address

280 Quentin Rd
Brooklyn, NY 11223-1628
Phone (718) 380-4750

Other identifiers 1

IdentifierTypeStateIssuer
02556141MedicaidNY

Other names 1

  • Quentin Medical, P.C Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001093 NY Part B Supplier - Clinic/Group Practice 2062302649 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Brooklyn, NY; Flushing, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Quentin Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15611 Aguilar Ave
Ste P3
Flushing, NY 11367
Phone (718) 380-4745

Practitioners & affiliated clinicians

Practitioners 6

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891711453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231628",
            "telephone_number": "718-380-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231628",
            "telephone_number": "718-380-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN MEDICAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNSHTEYN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-380-4750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02556141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quentin Medical, P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.