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STAR MEDICAL OFFICES P.C. NPI 1548211915


NPI Information

NPI: 1548211915
Provider Name: STAR MEDICAL OFFICES P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D0923416

Address:
415 OCEAN VIEW AVE
BROOKLYN, NY
ZIP 11235
Phone: (718) 934-4842
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STAR MEDICAL OFFICES P.C. is an internal medicine in Brooklyn, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. STAR MEDICAL OFFICES P.C. NPI is 1548211915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 OCEAN VIEW AVE
BROOKLYN, NY
ZIP 11235-828
Phone: (718) 934-4842
Fax: (718) 616-0165

The provider's authorized official is Democleia Gottesman .
The authorized official title is President and has the following contact phone number (718) 934-4842.

The CLIA number assigned to this NPI record is 33D0923416 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/4/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease144701NEW YORKNo
2207RG0100XInternal MedicineGastroenterology181011NEW YORKNo
3207RH0003XInternal MedicineHematology & Oncology203695NEW YORKNo
4208100000XPhysical Medicine & Rehabilitation238025NEW YORKNo
5208800000XUrology236385NEW YORKNo
6207R00000XInternal Medicine211150NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104342MEDICARE PINNEW YORK
2W85551MEDICARE ID-TYPE UNSPECIFIEDNEW YORKEMPIRE MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.