SOUTH BROOKLYN MEDICAL PC
NPI 1639575665
Specialist in Brooklyn, NY

Active since November 19, 2014
2119 E 15TH ST, BROOKLYN, NY 11229(718) 975-2709(718) 975-2709 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Brooklyn Medical Pc NPPES

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

SOUTH BROOKLYN MEDICAL PC (NPI 1639575665) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since November 2014. The organization lists Grigory Shtender, President, as its authorized official.

NPPES Registry Identity

NPI1639575665
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH BROOKLYN MEDICAL PC
Location Address2119 E 15TH STBrooklyn, NY 11229-4314
Mailing Address2119 E 15th StBrooklyn, NY 11229-4314 · (718) 975-2709 · Fax (718) 975-2709
Fax(718) 975-2709
Organization SubpartNo
Authorized OfficialGrigory ShtenderPresident · (718) 975-2709
Enumeration DateNovember 19, 2014
NPI 1639575665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 218261
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.

2119 E 15TH ST, Brooklyn, NY 11229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Specialist
2119 E 15TH ST
BROOKLYN, NY 11229
Specialist
2119 E 15TH ST
BROOKLYN, NY 11229
Durable Medical Equipment & Medical Supplies
2119 E 15TH 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 South Brooklyn Medical PC's NPI number?

The NPI number for South Brooklyn Medical PC is 1639575665. It was assigned to this organization in the NPPES registry on November 19, 2014.

Where is South Brooklyn Medical PC located?

South Brooklyn Medical PC is located at 2119 E 15th St, Brooklyn, NY 11229. The listed phone number is (718) 975-2709.

What is South Brooklyn Medical PC'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 South Brooklyn Medical PC was last updated on November 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.