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SOUTH BROOKLYN MEDICAL CARE, PC
NPI 1639246150
Internal Medicine in Brooklyn, NY

Active since November 29, 2006CLIA 33D1036655 · Waiver
2705 MERMAID AVE, BROOKLYN, NY 11224(718) 265-2222(718) 333-1023 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About South Brooklyn Medical Care, Pc NPPES

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

SOUTH BROOKLYN MEDICAL CARE, PC (NPI 1639246150) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Michael Tavdy, President, as its authorized official.

NPPES Registry Identity

NPI1639246150
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH BROOKLYN MEDICAL CARE, PC
Location Address2705 MERMAID AVEBrooklyn, NY 11224-2005
Mailing Address2705 Mermaid AveBrooklyn, NY 11224-2005 · (718) 265-2222 · Fax (718) 333-1023
Phone(718) 265-2222
Fax(718) 333-1023
Organization SubpartNo
Authorized OfficialMichael TavdyPresident · (718) 265-2222
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639246150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 221582
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.
2705 MERMAID AVE, Brooklyn, NY 11224
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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 33D1036655

South Brooklyn Medical Care PC · Brooklyn, NY
Active · expires Feb 7, 2027
CLIA Number33D1036655
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Michael Tavdy
Laboratory Phone(718) 926-5970
Laboratory LocationSouth Brooklyn Medical Care PC2705 Mermaid Avenue, Brooklyn, NY 11224
CLIA data matches this NPI record on: Address Name
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.

OLEG LATVINSKY DPM
Podiatrist
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 265-2222
ELENA STEFANOVICH OTR
Occupational Therapist
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 333-1024
TATYANA KIRICHENKO
Dietitian, Registered
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 265-2222
MODERN GASTROENTEROLOGY PC
Internal Medicine (Gastroenterology)
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 265-2222
GALINA BUKHGALTER FNP
Nurse Practitioner (Family)
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 265-2222
DR. MICHAEL TAVDY M.D.
Internal Medicine
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 265-2222
MARGARITA RITA JOSIPOVICH RD
Dietitian, Registered
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (171) 826-5222
AN MEDICAL NY PLLC
Internal Medicine (Cardiovascular Disease)
2705 MERMAID AVE
BROOKLYN, NY 11224
Kings County (718) 265-2222

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 South Brooklyn Medical Care, PC's NPI number?

The NPI number for South Brooklyn Medical Care, PC is 1639246150. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is South Brooklyn Medical Care, PC located?

South Brooklyn Medical Care, PC is located at 2705 Mermaid Ave, Brooklyn, NY 11224. The listed phone number is (718) 265-2222.

What is South Brooklyn Medical Care, PC's specialty?

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

Does South Brooklyn Medical Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1036655) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Brooklyn Medical Care, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.