Active NPI
Brooklyn Medical Practice PC
- Orthopaedic Surgery Physician
- Nutley, NJ
National Provider Identifier
1972316404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BROOKLYN MEDICAL PRACTICE PC
- Practice address
- 185 Kingsland St
Nutley, NJ 07110-1119 - Phone
- (855) 699-7246
- NPI assigned
- Jan 29, 2025
- Last updated
- Jun 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Neesha N Mohammed-Lopez
- Title
- Operation Manager
- Phone
- (973) 685-5988
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU |
Addresses
Primary practice location
185 Kingsland St
Nutley, NJ 07110-1119
Mailing address
PO Box 30
Nutley, NJ 07110-0030
Phone (718) 208-4707
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1972316404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071100030",
"telephone_number": "718-208-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 KINGSLAND ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101119",
"telephone_number": "855-699-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLYN MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-29",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "MOHAMMED-LOPEZ",
"authorized_official_first_name": "NEESHA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OPERATION MANAGER",
"authorized_official_telephone_number": "973-685-5988",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.