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

Q: 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.

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

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

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: October 18, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Brooklyn Medical Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Brooklyn Medical Care, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Michael Tavdy, M.D.

Internal Medicine

NPI 1720016793

2705 MERMAID AVE
Brooklyn, NY 11224

(718) 265-2222

✔ PECOS✔ Accepts MedicareSame address

Helen Chernovets-Vergilis, NP

Nurse Practitioner

NPI 1962823732

2727 OCEAN PKWY STE L1
Brooklyn, NY 11235

(917) 204-6434

✔ PECOS✔ Accepts Medicare1.5 mi

Stella Ilyaev, M.D.

Internal Medicine

NPI 1912907742

5629 METROPOLITAN AVE
Ridgewood, NY 11385

(718) 418-0300

✔ PECOS✔ Accepts Medicare11 mi

Nino Miminoshvili

Nurse Practitioner

NPI 1568213510

132 REINMAN RD
Warren, NJ 07059

(347) 524-3182

✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is South Brooklyn Medical Care, PC enrolled in Medicare?

Yes. South Brooklyn Medical Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Brooklyn Medical Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to South Brooklyn Medical Care, PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.