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DEKALB MEDICAL GROUP PC
NPI 1205020930
Clinic/Center - Primary Care in Brooklyn, NY

Active since September 06, 2007
122 SAINT NICHOLAS AVE, BROOKLYN, NY 11237(718) 418-0700(718) 418-2179 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dekalb Medical Group Pc NPPES

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

DEKALB MEDICAL GROUP PC (NPI 1205020930) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since September 2007. The organization lists Peter Yee Lo, President, as its authorized official.

NPPES Registry Identity

NPI1205020930
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEKALB MEDICAL GROUP PC
Location Address122 SAINT NICHOLAS AVEBrooklyn, NY 11237-4034
Mailing Address58 Irving StValley Stream, NY 11580-1635 · (516) 285-9322 · Fax (516) 285-9322
Phone(718) 418-0700
Fax(718) 418-2179
Organization SubpartNo
Authorized OfficialPeter Yee LoPresident · (718) 418-0700
Enumeration DateSeptember 6, 2007
✔ NPI 1205020930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 193223
122 SAINT NICHOLAS AVE, Brooklyn, NY 11237
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Other Identifiers 1

Medicare UPING59097NY

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 Dekalb Medical Group PC's NPI number?

The NPI number for Dekalb Medical Group PC is 1205020930. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Dekalb Medical Group PC located?

Dekalb Medical Group PC is located at 122 Saint Nicholas Ave, Brooklyn, NY 11237. The listed phone number is (718) 418-0700.

What is Dekalb Medical Group PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Dekalb Medical Group PC was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.