NPIMap

Organization Active NPI

Brooklyn Medical Practice PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1972967164
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254369 Issued in NY
Legal business name
BROOKLYN MEDICAL PRACTICE PC
Practice address
410 Ditmas Ave
Brooklyn, NY 11218-4920
Phone
(718) 484-4878
Fax
(718) 484-4874
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Sayeedus S Salehin, MDNPI 1275771487
Title
President
Phone
(718) 484-4878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 254369 NY Primary

Addresses

Primary practice location

410 Ditmas Ave
Brooklyn, NY 11218-4920

Mailing address

410 Ditmas Ave
Brooklyn, NY 11218-4920
Phone (718) 484-4878

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1972967164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184920",
            "telephone_number": "718-484-4878",
            "fax_number": "718-484-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184920",
            "telephone_number": "718-484-4878",
            "fax_number": "718-484-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "SALEHIN",
        "authorized_official_first_name": "SAYEEDUS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-484-4878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254369",
            "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 13, 2016; 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.