NPIMap

Organization Active NPI

Care Plus Medical, PC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1962648964
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
185234 Issued in NY
Legal business name
CARE PLUS MEDICAL, PC
Practice address
202 Foster Ave
Brooklyn, NY 11230-2119
Phone
(718) 851-4992
Fax
(718) 851-4998
NPI assigned
Dec 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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

Authorized official

Name
Dr. Leslie Dantes Theodore, M.D.
Title
President
Phone
(631) 960-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 185234 NY Primary

Addresses

Primary practice location

202 Foster Ave
Brooklyn, NY 11230-2119

Mailing address

202 Foster Ave
Brooklyn, NY 11230-2119
Phone (718) 851-4992

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229817600000",
    "number": "1962648964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-851-4992",
            "fax_number": "718-851-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-851-4992",
            "fax_number": "718-851-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PLUS MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "DANTES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-960-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "185234",
            "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 Dec 21, 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.