Prospect Park Medical Plaza PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

215383 Issued in NY

Legal business name

PROSPECT PARK MEDICAL PLAZA PC

Practice address

15 Ocean Ave
Brooklyn, NY 11225-3601

Phone

(718) 517-2500

Fax

(718) 769-3255

NPI assigned

Dec 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Boginsky, M.D.

Title

Medical Director

Phone

(718) 517-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail Ilych Akselrud, DO

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1407946833
  Medicare reassignment NPD
• Clifford Beinart, M.D.

  • Diagnostic Radiology Physician
  • New Paltz, NY
  • NPI 1396701678
  Medicare reassignment
• Grigory Shtender, M.D., PM&R

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1952316614
  Medicare reassignment

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230336000000",
    "number": "1982840765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253601",
            "telephone_number": "718-517-2500",
            "fax_number": "718-769-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253601",
            "telephone_number": "718-517-2500",
            "fax_number": "718-769-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT PARK MEDICAL PLAZA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-27",
        "last_updated": "2008-12-27",
        "status": "A",
        "authorized_official_last_name": "BOGINSKY",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-517-2500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Hills Medical Care PLLC
• Prospect Kids, LLC
• Prospect Lefferts Gardens Medical PC
• Prospect Medical Care of New York, P.C.
• Prospect Medical Group
• Prospect Park Nursing Home
• Prospect Park Operating, LLC
• Prospect Park Psychiatry PLLC
• Prospect Psychology LLC
• Prosper Applied Behavior Analysis PLLC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.