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

SUITE 69 MEDICAL PC
NPI 1104634773
Internal Medicine in Brooklyn, NY

Active since December 27, 2024
275 9TH ST STE 69, BROOKLYN, NY 11215(347) 404-6508 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suite 69 Medical Pc NPPES

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

SUITE 69 MEDICAL PC (NPI 1104634773), doing business as Mindcore, is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since December 2024. The organization lists Terry-jan Blackett-bonnett, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104634773
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUITE 69 MEDICAL PC
Location Address275 9TH ST STE 69Brooklyn, NY 11215-4457
Mailing Address275 9th St Ste 69Brooklyn, NY 11215-4457
Phone(347) 404-6508
Organization SubpartNo
Authorized OfficialTerry-jan Blackett-bonnettAuthorized Official · (347) 404-6508
Enumeration DateDecember 27, 2024
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1104634773 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.
275 9TH ST STE 69, Brooklyn, NY 11215
Open in Google Maps ↗

Other Names 1

Doing Business AsMindcore

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

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 Suite 69 Medical PC's NPI number?

The NPI number for Suite 69 Medical PC is 1104634773. It was assigned to this organization in the NPPES registry on December 27, 2024. The provider is doing business as Mindcore.

Where is Suite 69 Medical PC located?

Suite 69 Medical PC is located at 275 9th St Ste 69, Brooklyn, NY 11215. The listed phone number is (347) 404-6508.

What is Suite 69 Medical PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Suite 69 Medical PC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.