NPIMap

Organization Active NPI

Mermaid Management Inc

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1962793273
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERMAID MANAGEMENT INC
Practice address
1704 06 Mermaid Avenue
Brooklyn, NY 11224-2622
Phone
(718) 265-0900
Fax
(718) 265-6319
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Armen Gambarian
Title
Administrator
Phone
(718) 265-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1704 06 Mermaid Avenue
Brooklyn, NY 11224-2622

Mailing address

170406 Mermaid Avenue
Brooklyn, NY 11224-2622
Phone (718) 265-0900

National Provider Directory

National Provider Directory

Locations

1704 Mermaid Ave
#6
Brooklyn, NY 11224
Phone (718) 265-0900

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1962793273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170406 MERMAID AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242622",
            "telephone_number": "718-265-0900",
            "fax_number": "718-265-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 06 MERMAID AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242622",
            "telephone_number": "718-265-0900",
            "fax_number": "718-265-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "GAMBARIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-265-0900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Apr 21, 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.