MAG MEDICAL PC NPI 1215008040

NPI Information

  • NPI: 1215008040
  • Provider Name: MAG MEDICAL, PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 33D0931079
  • Address: 2379 65TH ST
    BROOKLYN, NY
    ZIP 11204
  • Phone: (718) 375-0392

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NPI Details

MAG MEDICAL, PC 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. MAG MEDICAL, PC NPI is 1215008040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2379 65TH ST
BROOKLYN, NY
ZIP 11204-045
Phone: (718) 375-0392
Fax: (718) 375-4324

The provider's authorized official is Alexander Merson .
The authorized official title is Owner and has the following contact phone number (718) 375-0392.

The CLIA number assigned to this NPI record is 33D0931079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 11/3/2009.

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
1207R00000XInternal Medicine196595NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W35471MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 11/21/2025

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