Organization Active NPI

M2 Medical Community Practice

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1972979904
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
281317-1 Issued in NY
Legal business name
M2 MEDICAL COMMUNITY PRACTICE
Practice address
433 72ND St
Brooklyn, NY 11209-1604
Phone
(718) 748-1320
NPI assigned
Aug 13, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Sherry Greene
Title
Manager
Phone
(718) 331-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 281317-1 NY Primary

Addresses

Primary practice location

433 72ND St
Brooklyn, NY 11209-1604

Mailing address

8210 18TH Ave
Brooklyn, NY 11214-2901
Phone (718) 331-6600

National Provider Directory

National Provider Directory
Tax ID family
M2 Medical Community Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1972979904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142901",
            "telephone_number": "718-331-6600",
            "fax_number": "718-331-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091604",
            "telephone_number": "718-748-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M2 MEDICAL COMMUNITY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-331-6600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281317-1",
            "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 Aug 13, 2015; 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.