Organization Active NPI

Priven Medical PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1982887717
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
220133 Issued in NY
Legal business name
PRIVEN MEDICAL PLLC
Practice address
2114 Gravesend Neck Rd
Brooklyn, NY 11229-4810
Phone
(718) 891-8790
NPI assigned
Dec 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Igor Priven, M.D.
Title
President
Phone
(718) 986-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 220133 NY Primary

Addresses

Primary practice location

2114 Gravesend Neck Rd
Brooklyn, NY 11229-4810

Mailing address

345 Route 9
Suite 8
Manalapan, NJ 07726-3239
Phone (718) 986-6443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1982887717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ROUTE 9",
            "address_2": "SUITE 8",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263239",
            "telephone_number": "718-986-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294810",
            "telephone_number": "718-891-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVEN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-15",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "PRIVEN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-986-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "220133",
            "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 Oct 17, 2008; 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.