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CENTRAL MEDICAL SERVICES OF WESTROCK PC NPI 1669591962


NPI Information

NPI: 1669591962
Provider Name: CENTRAL MEDICAL SERVICES OF WESTROCK, PC

Doing Business As: CMSW

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D2012298

Address:
111 LIVINGSTON STREET
SUITE #1901
BROOKLYN, NY
ZIP 11201
Phone: (718) 797-9111
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CENTRAL MEDICAL SERVICES OF WESTROCK, PC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL MEDICAL SERVICES OF WESTROCK, PC NPI is 1669591962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cmsw.

The provider's business location address is:

111 LIVINGSTON STREET
SUITE #1901
BROOKLYN, NY
ZIP 11201
Phone: (718) 797-9111
Fax: (718) 797-9876

The provider's authorized official is Michael Hearns .
The authorized official title is Ceo and has the following contact phone number (718) 797-9111.

The CLIA number assigned to this NPI record is 33D2012298 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 2/5/2016.


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
1174400000XSpecialist18541NEW YORKNo
2174400000XSpecialist185419NEW 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
1CPM-OM,AN,GPOTHERNEW YORKWCB RATING CODE
202038GMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3F-34253MEDICARE UPINNEW YORK
4185419OTHERNEW YORKLIC #

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: 11/14/2023

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.