Organization Active NPI

4N Medical Care PC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1902213317
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
4N MEDICAL CARE PC
Practice address
6903 4TH Ave
Brooklyn, NY 11209-1509
Phone
(718) 908-8110
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Nabil Rezk, MDNPI 1942573167
Title
Owner/Physician
Phone
(718) 908-2110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6903 4TH Ave
Brooklyn, NY 11209-1509

Mailing address

6903 4TH Ave
Brooklyn, NY 11209-1509
Phone (718) 908-8110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140814001878 NY Part B Supplier - Clinic/Group Practice 2365669322 Receives reassigned benefits from 2 practitioners
Practice locations: Astoria, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3708 28th Ave
Ste 100A
Astoria, NY 11103
Phone (718) 278-7300

3708 28th Ave
#100A
Astoria, NY 11103

7510 4th Ave
Ste 4
Brooklyn, NY 11209
Phone (347) 578-7340

Practitioners & affiliated clinicians

Practitioners 3

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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1902213317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "718-908-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091509",
            "telephone_number": "718-908-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4N MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "718-908-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Jul 17, 2014; 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.