Organization Active NPI

MK Surgical P.C.

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1962453381
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
177560 Issued in NY
Legal business name
MK SURGICAL P.C.
Practice address
1819 E 13TH St
Brooklyn, NY 11229-2870
Phone
(718) 769-0707
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Merab Krikhely
Title
President
Phone
(718) 769-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 177560 NY Primary

Addresses

Primary practice location

1819 E 13TH St
Brooklyn, NY 11229-2870

Mailing address

1819 E 13TH St
Brooklyn, NY 11229-2870

Other identifiers 1

IdentifierTypeStateIssuer
01249105MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1962453381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292870",
            "telephone_number": "718-769-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK SURGICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "KRIKHELY",
        "authorized_official_first_name": "MERAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-769-0707"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "177560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01249105",
            "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 Apr 4, 2008; 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.