Active NPI
Parkville Medical PC
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
National Provider Identifier
1982889648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 158543
- Legal business name
- PARKVILLE MEDICAL PC
- Practice address
- 445 Park Avenue
Brooklyn, NY 11205-2735 - Phone
- (718) 963-0800
- Fax
- (718) 534-5221
- NPI assigned
- Dec 31, 2007
- 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
- Paul Rosenstock, M.D.
- Title
- Medical Director
- Phone
- (718) 963-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 158543 | NY | Primary |
Addresses
Primary practice location
445 Park Avenue
Brooklyn, NY 11205-2735
Mailing address
445 Park Avenue
Brooklyn, NY 11205-2735
Phone (718) 963-0800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01332223 | Medicaid | NY | |
| 03305346 | Medicaid | NY |
Other names 1
- Parcare Medical & Health Center
National Provider Directory
National Provider DirectoryLocations
229 Parkville Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 236-0700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Saint Augustine, FL
- NPI 1609869833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436400000000",
"number": "1982889648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 PARK AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052735",
"telephone_number": "718-963-0800",
"fax_number": "718-534-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 PARK AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052735",
"telephone_number": "718-963-0800",
"fax_number": "718-534-5221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVILLE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-31",
"last_updated": "2015-07-09",
"status": "A",
"authorized_official_last_name": "ROSENSTOCK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-963-0800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "158543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01332223",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03305346",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parcare Medical & Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
- Parksports Physical Therapy, PLLC
- Parksports Physical Therapy, PLLC
- Parksports Physical Therapy, PLLC
- Parkville Food Center LLC
- Parkville Medical Health PC
- Parkville Vision Center Inc
- Parkway Counseling & Psychiatric Services, PC
- Parkway Medical Group PLLC
- Parkway Medical Group PLLC
- Parkway Medical PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.