Jack I. Apelbaum, M.D., P.L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

158867 Issued in NY

Legal business name

JACK I. APELBAUM, M.D., P.L.L.C.

Practice address

2083 E 65TH St
Entrance on Avenue U
Brooklyn, NY 11234-5913

Phone

(718) 531-5800

Fax

(718) 444-4823

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Ira Apelbaum, M.D.

Title

Owner

Phone

(718) 531-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jack I. Apelbaum, M.D. Former legal business name

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1922046648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 E 65TH ST",
            "address_2": "ENTRANCE ON AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345913",
            "telephone_number": "718-531-5800",
            "fax_number": "718-444-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 E 65TH ST",
            "address_2": "ENTRANCE ON AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345913",
            "telephone_number": "718-531-5800",
            "fax_number": "718-444-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK I. APELBAUM, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "APELBAUM",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-531-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00951693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack I. Apelbaum, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tzvi Jachimowitz
• Peggy Jacilien
• Jose Maria Roberto Cruz Jacinto, MD
• Jack Fatiha MD PC
• Jack Husney MD P.C.
• Jack Jedwab MD PC
• Gail Jack-Mason
• Lystra Jack-Tosssaint, LPN
• Gweneth Kaycita Jack
• Kelvin Karibo Jack, M.D

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.