NPIMap

Organization Active NPI

Fulton Medical Group PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1962636373
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
239572 Issued in NY
Legal business name
FULTON MEDICAL GROUP PC
Practice address
350 Fulton St
Brooklyn, NY 11201-5137
Phone
(718) 875-9500
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Leonard J. Emma, M.D.
Title
Owner
Phone
(718) 875-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 239572 NY Primary

Addresses

Primary practice location

350 Fulton St
Brooklyn, NY 11201-5137

Mailing address

PO Box 24150
Brooklyn, NY 11202-4150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1962636373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24150",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112024150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015137",
            "telephone_number": "718-875-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "EMMA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-875-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "239572",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 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.