Active NPI
Orthopedic Faculty Practice
- Orthopaedic Trauma Physician
- Brooklyn, NY
National Provider Identifier
1932654282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 280110
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04402044 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.