Brooklyn Community Medical PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

223838 Issued in NY

Legal business name

BROOKLYN COMMUNITY MEDICAL PC

Practice address

2555 Nostrand Ave
Brooklyn, NY 11210-4730

Phone

(718) 951-8800

Fax

(718) 951-0846

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Abraham Greenfield

Title

Administrator

Phone

(718) 951-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Brooklyn Community Med PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Brooklyn Community Medcail PC

  • Specialist
  • Brooklyn, NY
  • NPI 1902872229
  NPD tax ID
• Brooklyn Community Medical PC

  • Specialist
  • Brooklyn, NY
  • NPI 1073557674
  NPD tax ID

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1891810461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104730",
            "telephone_number": "718-951-8800",
            "fax_number": "718-951-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104730",
            "telephone_number": "718-951-8800",
            "fax_number": "718-951-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COMMUNITY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-951-8800"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "223838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "223838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Comfortable Dental Care
• Brooklyn Community Housing & Services, Inc.
• Brooklyn Community Medcail PC
• Brooklyn Community Medical PC
• Brooklyn Community Medical PC
• Brooklyn Community Pros
• Brooklyn Comprehensive Care Center Inc.
• Brooklyn Comprehensive Care Medical PC
• Brooklyn Comprehensive Healthcare Medical PC
• Brooklyn Conservatory of Music

• Exclusive Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.