AVANGUARD MEDICAL GROUP, PLLC
NPI 1417033572
Specialist in Brooklyn, NY

Active since October 31, 2006
2076 E 13TH ST, BROOKLYN, NY 11229(718) 382-7909(718) 382-7912 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Avanguard Medical Group, Pllc NPPES

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

AVANGUARD MEDICAL GROUP, PLLC (NPI 1417033572) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since October 2006. The organization lists Mark Gladstein, Director, as its authorized official.

NPPES Registry Identity

NPI1417033572
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAVANGUARD MEDICAL GROUP, PLLC
Location Address2076 E 13TH STBrooklyn, NY 11229-3304
Mailing Address2076 E 13th StBrooklyn, NY 11229-3304 · (718) 382-7909 · Fax (718) 382-7912
Fax(718) 382-7912
Organization SubpartNo
Authorized OfficialMark GladsteinDirector · (718) 382-7900
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 19, 2007
NPI 1417033572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 205366
Definition

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.

2076 E 13TH ST, Brooklyn, NY 11229

Other Identifiers 1

Medicare PINWANK51NY

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

Other Providers at the Same Location NPPES 12

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

Anesthesiology (Pain Medicine)
2076 E 13TH ST
BROOKLYN, NY 11229
Ophthalmology
2076 E 13TH ST
BROOKLYN, NY 11229
Anesthesiology (Pain Medicine)
2076 E 13TH ST
BROOKLYN, NY 11229
Anesthesiology (Pain Medicine)
2076 E 13TH ST
BROOKLYN, NY 11229
Clinic/Center (Ophthalmologic Surgery)
2076 E 13TH ST
BROOKLYN, NY 11229
Clinic/Center
2076 E 13TH ST, 1ST FL
BROOKLYN, NY 11229
Registered Nurse (Pain Management)
2076 E 13TH ST
BROOKLYN, NY 11229
Clinic/Center (Pain)
2076 E 13TH ST
BROOKLYN, NY 11229

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 Avanguard Medical Group, PLLC's NPI number?

The NPI number for Avanguard Medical Group, PLLC is 1417033572. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Avanguard Medical Group, PLLC located?

Avanguard Medical Group, PLLC is located at 2076 E 13th St, Brooklyn, NY 11229. The listed phone number is (718) 382-7909.

What is Avanguard Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Avanguard Medical Group, PLLC was last updated on October 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.