MEDCARE LLC NPI 1508993650

NPI Information

NPI: 1508993650
Provider Name: MEDCARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D1069834

Address:
468 LAFAYETTE AVE
BROOKLYN, NY
ZIP 11205
Phone: (718) 399-6234
Get Directions

MEDCARE, LLC is a family medicine in Brooklyn, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDCARE, LLC NPI is 1508993650. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

468 LAFAYETTE AVE
BROOKLYN, NY
ZIP 11205-809
Phone: (718) 399-6234
Fax: (718) 399-3516

The provider's authorized official is Sofiya Keisserman .
The authorized official title is Owner/administrator and has the following contact phone number (718) 399-6234.

The CLIA number assigned to this NPI record is 33D1069834 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 4/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		TUV006926	NEW YORK	No
2	207R00000X	Internal Medicine		218384	NEW YORK	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	127692	NEW YORK	No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	174588	NEW YORK	No
5	207V00000X	Obstetrics & Gynecology		233517	NEW YORK	No
6	213E00000X	Podiatrist		N006039	NEW YORK	No
7	225100000X	Physical Therapist		026957	NEW YORK	No
8	207Q00000X	Family Medicine		219313	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	08033	MEDICARE PIN	NEW YORK
2	03010506	MEDICAID	NEW YORK
3	WWS861	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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