IMELDA A. CARIN MD PA NPI 1538353347

NPI Information

NPI: 1538353347
Provider Name: IMELDA A. CARIN, MD, PA
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 302 BROADWAY
BROOKLYN, NY
ZIP 11211
Phone: (718) 384-0010

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NPI Details

IMELDA A. CARIN, MD, PA is a primary care clinic center in Brooklyn, NY. IMELDA A. CARIN, MD, PA NPI is 1538353347. The provider is registered as an organization entity type.

The provider's business location address is:

302 BROADWAY
BROOKLYN, NY
ZIP 11211-308
Phone: (718) 384-0010
Fax: (718) 599-4632

The provider's authorized official is Imelda A. Carin .
The authorized official title is President and has the following contact phone number (973) 299-1168.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 3/7/2023.

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
1	261QP2300X	Clinic/Center	Primary Care	149173-1	NEW YORK	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	00715182	MEDICAID	NEW YORK
2	245246	OTHER	NEW YORK	HMO WELLCARE
3	60518589A	OTHER	NEW YORK	HMO FIDELIS CARE

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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