Organization Active NPI

Metropolitan Diagnostic Medical Care PC

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1912205279
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
139939 Issued in NY
Legal business name
METROPOLITAN DIAGNOSTIC MEDICAL CARE PC
Practice address
198 Foster Ave
Suite B
Brooklyn, NY 11230-2133
Phone
(917) 693-1911
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
David Glass, MDNPI 1760583900
Title
President
Phone
(718) 996-4400

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
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 139939 NY Primary

Addresses

Primary practice location

198 Foster Ave
Suite B
Brooklyn, NY 11230-2133

Mailing address

198 Foster Ave
Suite B
Brooklyn, NY 11230-2133

National Provider Directory

National Provider Directory

Locations

198 Foster Ave
Ste B
Brooklyn, NY 11230
Phone (718) 437-7400

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": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1912205279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 FOSTER AVE",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 FOSTER AVE",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302133",
            "telephone_number": "917-693-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DIAGNOSTIC MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-996-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "139939",
            "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 Mar 9, 2011; 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.