Organization Active NPI

Good Care Medical of New York,PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891718805
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
199899 Issued in NY
Legal business name
GOOD CARE MEDICAL OF NEW YORK,PC
Practice address
5701 4TH Ave
Brooklyn, NY 11220-3315
Phone
(718) 567-2800
Fax
(718) 567-7775
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Bella Levin, MD
Title
President
Phone
(718) 567-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 199899 NY Primary

Addresses

Primary practice location

5701 4TH Ave
Brooklyn, NY 11220-3315

Mailing address

5701 4TH Ave
Brooklyn, NY 11220-3315
Phone (718) 567-2800

Other identifiers 1

IdentifierTypeStateIssuer
02320363MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1891718805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203315",
            "telephone_number": "718-567-2800",
            "fax_number": "718-567-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203315",
            "telephone_number": "718-567-2800",
            "fax_number": "718-567-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CARE MEDICAL OF NEW YORK,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-567-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "199899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320363",
            "state": "NY"
        }
    ],
    "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 30, 2010; 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.