Clarendon Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

123637 Issued in NY

Legal business name

CLARENDON MEDICAL PC

Practice address

2814 Clarendon Rd
Brooklyn, NY 11226-6318

Phone

(718) 469-7363

Fax

(718) 469-7551

NPI assigned

Feb 28, 2011

Last updated

Feb 28, 2011By 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

Ernesto Lopez, MD

Title

Medical Director

Phone

(718) 469-7363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1952608986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 CLARENDON RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266318",
            "telephone_number": "718-469-7363",
            "fax_number": "718-469-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 CLARENDON RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266318",
            "telephone_number": "718-469-7363",
            "fax_number": "718-469-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-469-7363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "123637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Clapp, CCC-SLP
• Lauren Elizabeth Clapp, LCSW
• Daniel K Claps, DC
• Camille Clare, MD
• Clarendon D. Garden Social Daycare
• Antonio Clares, D.D.S.
• Clarity Medical PC (Clarity Eye Care)
• Clarity Optical Solutions Inc
• Clarity Speech
• Nikel Jonte Clark-Perry

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.