CENTRAL BROOKLYN MEDICAL GROUP PC; NPI #1689627184

Contact Information

CENTRAL BROOKLYN MEDICAL GROUP PC

441 9TH AVE
9TH FLOOR
NEW YORK, NY 10001-1623

Phone: 646-680-2894
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Allergy	207KA0200X	03	Physician/Allergy/ Immunology
Dermatology	207N00000X	07	Physician/Dermatology
Hematology & Oncology	207RH0003X	11	Physician/Internal Medicine
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine
Nephrology	207RN0300X	11	Physician/Internal Medicine
Neurological Surgery	207T00000X	02	Physician/General Surgery
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology
Ophthalmology	207W00000X	18	Physician/Ophthalmology
Orthopaedic Surgery	207X00000X	02	Physician/General Surgery
Otolaryngology	207Y00000X	04	Physician/Otolaryngology
Pediatrics	208000000X	37	Physician/Pediatric Medicine
Radiology	261QR0200X	74	Radiation Therapy Center
Surgery	208600000X	02	Physician/General Surgery
Urology	208800000X	34	Physician/Urology

Indicates primary specialty

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NPI Profile & details for CENTRAL BROOKLYN MEDICAL GROUP PC

NPI Number 1689627184

LBN Legal business name CENTRAL BROOKLYN MEDICAL GROUP PC

Authorized official MARLENA SIMPSON - (AVP - CREDENTIALING)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/18/2006

Last updated 06/04/2015 - About 11 years ago

Identifiers

Medicaid

03478728

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTRAL BROOKLYN MEDICAL GROUP PC

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NPI Profile & details for CENTRAL BROOKLYN MEDICAL GROUP PC

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