1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Internal Medicine
  6. NPI Profile

INTERMED CARE PC
NPI 1063792158
Internal Medicine in Brooklyn, NY

Active since August 22, 2011CLIA 33D0963321 · Waiver
721 FLUSHING AVE, BROOKLYN, NY 11206(718) 218-6888(718) 218-6855 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intermed Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMED CARE PC (NPI 1063792158) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Boris Mazurov, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063792158
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERMED CARE PC
Location Address721 FLUSHING AVEBrooklyn, NY 11206-4419
Mailing Address1849 86th StBrooklyn, NY 11214-3108 · (718) 331-9600 · Fax (718) 331-9703
Phone(718) 218-6888
Fax(718) 218-6855
Organization SubpartNo
Authorized OfficialBoris MazurovMedical Director · (718) 331-9600
Enumeration DateAugust 22, 2011
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1063792158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
721 FLUSHING AVE, Brooklyn, NY 11206
Open in Google Maps ↗

Other Identifiers 2

Medicaid03324018NY
Medicare PINWK5711

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0963321

Intermed Care PC · Brooklyn, NY
Active · expires Nov 15, 2026
CLIA Number33D0963321
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMikhail S. Tetrok
Laboratory Phone(718) 331-9600
Laboratory LocationIntermed Care PC3048 Brighton 1st Floor, Brooklyn, NY 11235
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRABASH KONERU M.D.
Internal Medicine
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (347) 671-7575
DEIDRE DRUMMONDS
Social Worker
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (718) 789-7539
INTERHEALTH MEDICAL CARE PC
Family Medicine
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (718) 218-6888
SHANNON ANTONIA VASSELL
Social Worker
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (718) 789-7539
COMMUNITY MEDICAL DISORDER P.C.
Psychologist (Prescribing (Medical))
721 FLUSHING AVE, 1ST FLOOR
BROOKLYN, NY 11206
Kings County (718) 218-6888
CRYSTAL MORGAN
Social Worker
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (718) 789-7539
LITZY FABIOLA GOMEZ GARCIA
Social Worker
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (718) 789-7539
DR. SIMEON ELI ISAACS D.P.M.
Podiatrist (Primary Podiatric Medicine)
721 FLUSHING AVE
BROOKLYN, NY 11206
Kings County (800) 235-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermed Care PC's NPI number?

The NPI number for Intermed Care PC is 1063792158. It was assigned to this organization in the NPPES registry on August 22, 2011.

Where is Intermed Care PC located?

Intermed Care PC is located at 721 Flushing Ave, Brooklyn, NY 11206. The listed phone number is (718) 218-6888.

What is Intermed Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Intermed Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0963321) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermed Care PC was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.