Active NPI
Prime Quality Medical Care PC
- Specialist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PRIME QUALITY MEDICAL CARE PC
- Practice address
- 1645 E 19TH St PH
Brooklyn, NY 11229-1311 - Phone
- (718) 265-5858
- Fax
- (718) 265-2306
- NPI assigned
- Feb 24, 2007
- Last updated
- Dec 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abdo Balikcioglu, M.D.,
- Title
- Authorized Official
- Phone
- (718) 265-5858
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1645 E 19TH St PH
Brooklyn, NY 11229-1311
Mailing address
1645 E 19TH St PH
Brooklyn, NY 11229-1311
Phone (718) 265-5858
Other names 1
- PRIME CARE MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2391 Bell Blvd
Ste 101
Bayside, NY 11360
Phone (718) 224-7977
1645 E 19th St
Brooklyn, NY 11229
Phone (718) 265-5858
1645 E 19th St
Ph
Brooklyn, NY 11229
Phone (718) 265-5858
1725 E 12th St
Ste 202
Brooklyn, NY 11229
Phone (718) 265-5858
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1457366015
-
- General Practice Physician
- Bronx, NY
- NPI 1861903288
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Lauderdale, FL
- NPI 1912906546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545782400000",
"number": "1912033184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 E 19TH ST PH",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291311",
"telephone_number": "718-265-5858",
"fax_number": "718-265-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 E 19TH ST PH",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291311",
"telephone_number": "718-265-5858",
"fax_number": "718-265-2306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME QUALITY MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-24",
"last_updated": "2018-12-26",
"status": "A",
"authorized_official_last_name": "BALIKCIOGLU",
"authorized_official_first_name": "ABDO",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "718-265-5858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRIME CARE MEDICAL CENTER",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "PRIME CARE MEDICAL CENTER",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 26, 2018; 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.