ADVANCED PRACTICE OF MEDICINE PC NPI 1689708190

NPI Information

NPI: 1689708190
Provider Name: ADVANCED PRACTICE OF MEDICINE PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D1105582

Address:
3101 OCEAN PKWY APT 1E
BROOKLYN, NY
ZIP 11235
Phone: (718) 942-5385
Get Directions

ADVANCED PRACTICE OF MEDICINE 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. ADVANCED PRACTICE OF MEDICINE PC NPI is 1689708190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3101 OCEAN PKWY APT 1E
BROOKLYN, NY
ZIP 11235-412
Phone: (718) 942-5385
Fax: (718) 942-5377

The provider's authorized official is Yevgeniya Rabovetskaya .
The authorized official title is Md and has the following contact phone number (718) 942-5385.

The CLIA number assigned to this NPI record is 33D1105582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/6/2010.

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	174400000X	Specialist		207452	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	PR51792530001	OTHER	NEW YORK	CIGNA
2	207452	OTHER	NEW YORK	HIP
3	182219	OTHER	NEW YORK	DC1707
4	=========	OTHER	NEW YORK	METRO PLUS
5	G82836	OTHER	NEW YORK	MULTIPLAN
6	2514433	OTHER	NEW YORK	GHI PPO
7	G82836	MEDICARE UPIN	NEW YORK
8	207452A79	OTHER	NEW YORK	HEALTH FIRST
9	219AK2	OTHER	NEW YORK	EMPIRE BCBS
10	=========	OTHER	NEW YORK	UNITED HEALTHCARE
11	P1874886	OTHER	NEW YORK	OXFORD
12	01893030	MEDICAID	NEW YORK
13	RY7452	OTHER	NEW YORK	ATLANTIS
14	2386025	OTHER	NEW YORK	AETNA HMO
15	BK0093510	OTHER	NEW YORK	AMERICHOICE
16	YR041N7910	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
17	3C3729	OTHER	NEW YORK	HEALTHNET
18	060609000000	OTHER	INDIANA	CENTER CARE
19	=========	OTHER	NEW YORK	AETNA PPO

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »