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BORO PARK OPERATING CO LLC NPI 1427356930


NPI Information

NPI: 1427356930
Provider Name: BORO PARK OPERATING CO LLC

Other Name: BORO PARK PHYSICIAN GROUP

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 33D2147761

Address:
4915 10TH AVE
BROOKLYN, NY
ZIP 11219
Phone: (718) 851-3700
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BORO PARK OPERATING CO LLC is a geriatric medicine internal medicine in Brooklyn, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. BORO PARK OPERATING CO LLC NPI is 1427356930. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Boro Park Physician Group.

The provider's business location address is:

4915 10TH AVE
BROOKLYN, NY
ZIP 11219-301
Phone: (718) 851-3700

The provider's authorized official is Kenneth Rozenberg .
The authorized official title is Member and has the following contact phone number (718) 931-9700.

The CLIA number assigned to this NPI record is 33D2147761 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 12/31/2019.


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
1207RG0300XInternal MedicineGeriatric MedicineYes

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

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