Peter Badmajew MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

102308-1 Issued in NY

Legal business name

PETER BADMAJEW MD PC

Practice address

209 Avenue P
Avenue P Medical Center
Brooklyn, NY 11204

Phone

(718) 259-6666

Fax

(718) 259-7000

NPI assigned

Nov 21, 2008

Last updated

Jan 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Badmajew, MD

Title

President

Phone

(718) 259-6666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1952556672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "address_2": "AVENUE P MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "address_2": "AVENUE P MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BADMAJEW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "BADMAJEW",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-259-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "102308-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 20, 2009; 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.