Organization Active NPI

Orthopedic Faculty Practice

  • Orthopaedic Trauma Physician
  • Brooklyn, NY
National Provider Identifier
1932654282
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
280110 Issued in NY
Legal business name
ORTHOPEDIC FACULTY PRACTICE
Practice address
6010 Bay Pkwy
7TH Floor
Brooklyn, NY 11204-6079
Phone
(718) 283-7400
Fax
(718) 283-6199
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Jack Choueka
Title
Chairman MD
Phone
(718) 283-7889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X 280110 NY Primary

Addresses

Primary practice location

6010 Bay Pkwy
7TH Floor
Brooklyn, NY 11204-6079

Mailing address

6010 Bay Pkwy
7TH Floor
Brooklyn, NY 11204-6079
Phone (718) 283-7400

Other identifiers 1

IdentifierTypeStateIssuer
04402044MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1932654282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY",
            "address_2": "7TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-283-7400",
            "fax_number": "718-283-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY",
            "address_2": "7TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046079",
            "telephone_number": "718-283-7400",
            "fax_number": "718-283-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "CHOUEKA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHAIRMAN MD",
        "authorized_official_telephone_number": "718-283-7889"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NY",
            "license": "280110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04402044",
            "state": "NY"
        }
    ],
    "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 Aug 16, 2016; 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.