American Medical Diagnostics PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

265876 Issued in NY

Legal business name

AMERICAN MEDICAL DIAGNOSTICS PLLC

Practice address

1122 Avenue P
Brooklyn, NY 11229-1025

Phone

(718) 377-3948

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Ezra Israel, MDNPI 1073759346

Title

Owner

Phone

(718) 377-2834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ezra Ceasar Israel, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1073759346
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Srour, RD

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1336906692
  Medicare reassignment Care Compare group NPD
• Kensky Meme, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1841085008
  Medicare reassignment NPD
• Marie Guerline Paul, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1356516447
  Medicare reassignment NPD

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1922436591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356108",
            "telephone_number": "718-782-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291025",
            "telephone_number": "718-377-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-377-2834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "265876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Hope Home Care Services
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• American Med Transit Inc
• American Medical Center
• American Medical Company
• American Medical Services, PC
• American Medical Supply Center Inc
• American Medical Supply Inc.
• American Medical Today P.C.
• American Medical Utilization Management Corporation

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.