Organization Active NPI

America Medical Group PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1932297637
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMERICA MEDICAL GROUP PC
Practice address
441 Lorimer St
1 FLR.
Brooklyn, NY 11206-1100
Phone
(718) 302-1170
Fax
(718) 302-1109
NPI assigned
Oct 10, 2006
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mrs. Ondina Pena
Title
Office Manager
Phone
(917) 279-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

441 Lorimer St
1 FLR.
Brooklyn, NY 11206-1100

Mailing address

441 Lorimer St
1 FLR.
Brooklyn, NY 11206-1100
Phone (718) 302-1170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000856 NY Part B Supplier - Clinic/Group Practice 3476568197 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

563 Grand St
Brooklyn, NY 11211
Phone (718) 302-1170

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1932297637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 LORIMER ST",
            "address_2": "1 FLR.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061100",
            "telephone_number": "718-302-1170",
            "fax_number": "718-302-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 LORIMER ST",
            "address_2": "1 FLR.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061100",
            "telephone_number": "718-302-1170",
            "fax_number": "718-302-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICA MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ONDINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-279-2094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Oct 5, 2016; 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.