Organization Active NPI

Healthy Living Medical Care PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1891858841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
210766 Issued in NY
Legal business name
HEALTHY LIVING MEDICAL CARE PLLC
Practice address
2742 Brighton 8TH St
Brooklyn, NY 11235-5205
Phone
(718) 300-7130
NPI assigned
Dec 19, 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
Ahmed Irshad
Title
Organizer
Phone
(718) 300-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 210766 NY Primary

Addresses

Primary practice location

2742 Brighton 8TH St
Brooklyn, NY 11235-5205

Mailing address

611 Banner Ave Apt 2C
Brooklyn, NY 11235-6739
Phone (718) 300-7130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891858841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BANNER AVE APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356739",
            "telephone_number": "718-300-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 BRIGHTON 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355205",
            "telephone_number": "718-300-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRSHAD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "718-300-7130"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "210766",
            "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 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.