NPIMap

Organization Active NPI

Express Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891733804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174735 Issued in NY
Legal business name
EXPRESS MEDICAL PC
Practice address
3059 Brighton 7TH St
Brooklyn, NY 11235-6414
Phone
(718) 259-2700
Fax
(718) 259-2714
NPI assigned
Jun 2, 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
Issak Belogolovkin, MD
Title
President
Phone
(718) 612-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 174735 NY Primary

Addresses

Primary practice location

3059 Brighton 7TH St
Brooklyn, NY 11235-6414

Mailing address

3250 Coney Island Ave
#A5
Brooklyn, NY 11235
Phone (718) 648-5858

Other identifiers 1

IdentifierTypeStateIssuer
00951524MedicaidNY

National Provider Directory

National Provider Directory

Locations

3250 Coney Island Ave
Apt 5A
Brooklyn, NY 11235
Phone (718) 612-2747

Practitioners & affiliated clinicians

Practitioners 5

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891733804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 CONEY ISLAND AVE",
            "address_2": "#A5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-648-5858",
            "fax_number": "718-375-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 BRIGHTON 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356414",
            "telephone_number": "718-259-2700",
            "fax_number": "718-259-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELOGOLOVKIN",
        "authorized_official_first_name": "ISSAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-612-2247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00951524",
            "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 Aug 22, 2020; 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.