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CENTRAL BROOKLYN MEDICAL GROUP PC NPI 1689627184


NPI Information

NPI: 1689627184
Provider Name: CENTRAL BROOKLYN MEDICAL GROUP PC

Doing Business As: PREFERRED HEALTH PARTNERS / ADVANTAGECARE PHYSICIANS

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
441 9TH AVE
9TH FLOOR
NEW YORK, NY
ZIP 10001
Phone: (646) 680-2894
Get Directions

CENTRAL BROOKLYN MEDICAL GROUP PC is an allergy allergy immunology in New York, NY. CENTRAL BROOKLYN MEDICAL GROUP PC NPI is 1689627184. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Preferred Health Partners / Advantagecare Physicians.

The provider's business location address is:

441 9TH AVE
9TH FLOOR
NEW YORK, NY
ZIP 10001-623
Phone: (646) 680-2894

The provider's authorized official is Marlena Simpson .
The authorized official title is Avp - Credentialing and has the following contact phone number (646) 680-2894.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/4/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207R00000XInternal MedicineNo
3207RH0003XInternal MedicineHematology & OncologyNo
4207RI0011XInternal MedicineInterventional CardiologyNo
5207RN0300XInternal MedicineNephrologyNo
6207T00000XNeurological SurgeryNo
7207V00000XObstetrics & GynecologyNo
8207W00000XOphthalmologyNo
9207X00000XOrthopaedic SurgeryNo
10207Y00000XOtolaryngologyNo
11208000000XPediatricsNo
12208600000XSurgeryNo
13208800000XUrologyNo
14261QR0200XClinic/CenterRadiologyNo
15207KA0200XAllergy & ImmunologyAllergyYes

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
1W05551MEDICARE PINNEW YORK
203478728MEDICAIDNEW 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: 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.