PHYSICARE MULTI SERVICES LTD NPI 1619984770

NPI Information

NPI: 1619984770
Provider Name: PHYSICARE MULTI SERVICES LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2010532

Address:
3508 FLATLANDS AVE
BROOKLYN, NY
ZIP 11234
Phone: (718) 253-3900
Get Directions

PHYSICARE MULTI SERVICES LTD 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. PHYSICARE MULTI SERVICES LTD NPI is 1619984770. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3508 FLATLANDS AVE
BROOKLYN, NY
ZIP 11234
Phone: (718) 253-3900
Fax: (718) 258-7844

The provider's authorized official is Moustafa A Elsheshtawy .
The authorized official title is Ceo and has the following contact phone number (347) 675-5544.

The CLIA number assigned to this NPI record is 33D2010532 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 2/1/2022.

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	Primary
1	207R00000X	Internal Medicine		No
2	207RG0100X	Internal Medicine	Gastroenterology	No
3	207V00000X	Obstetrics & Gynecology		No
4	207W00000X	Ophthalmology		No
5	208100000X	Physical Medicine & Rehabilitation		No
6	208VP0000X	Pain Medicine	Pain Medicine	No
7	207Q00000X	Family Medicine		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	Other Provider Identifier Issuer
1	02571337	MEDICAID	NEW YORK
2	7001116R	OTHER		NY STATE DEPT OF HEALTH A

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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