Citi Medical of Canarsie P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CITI MEDICAL OF CANARSIE P.C.

Practice address

1954 Rockaway Pkwy
Brooklyn, NY 11236-5506

Phone

(718) 209-8002

Fax

(718) 209-4744

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Clifford YoungNPI 1437161114

Title

M.D.

Phone

(718) 209-8002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Clifford Urias Young, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1437161114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1942364286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365506",
            "telephone_number": "718-209-8002",
            "fax_number": "718-209-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365506",
            "telephone_number": "718-209-8002",
            "fax_number": "718-209-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITI MEDICAL OF CANARSIE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-209-8002"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citi Health Home Care Services, Inc
• Citi Health Home Care Services, Inc
• Citi Health Home Care Services, Inc
• Citi Health Home Care Services, Inc
• Citi Health Home Care Services, Inc.
• Citicare Solutions
• Citicare Solutions, Inc.
• Citicare,LLC
• Citimed Staffing Inc
• Citipro-Group

• 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 May 12, 2008; 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.