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1110 PENNSYLVANIA AVENUE MEDICAL PLLC
NPI 1730638115
Clinic/Center - Urgent Care in Brooklyn, NY

Active since September 27, 2016
1110 PENNSYLVANIA AVE, SUITE 5, BROOKLYN, NY 11207(646) 942-2842 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 1110 Pennsylvania Avenue Medical Pllc NPPES

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

1110 PENNSYLVANIA AVENUE MEDICAL PLLC (NPI 1730638115) is a healthcare organization registered as an urgent care in Brooklyn, New York and active in the NPI registry since September 2016. The organization lists Jacqueline Storey, Physician, as its authorized official.

NPPES Registry Identity

NPI1730638115
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business Name1110 PENNSYLVANIA AVENUE MEDICAL PLLC
Location Address1110 PENNSYLVANIA AVE, SUITE 5Brooklyn, NY 11207-9003
Mailing Address1110 Pennsylvania Ave, Suite 5Brooklyn, NY 11207-9003 · (646) 942-2842
Phone(646) 942-2842
Organization SubpartNo
Authorized OfficialJacqueline StoreyPhysician · (646) 942-2842
Enumeration DateSeptember 27, 2016
Last NPPES UpdateOctober 5, 2016
✔ NPI 1730638115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1110 PENNSYLVANIA AVE, Brooklyn, NY 11207
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Other Providers at the Same Location NPPES 15

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

STARRETT CITY PHARMACY, LLC
Pharmacy
1110 PENNSYLVANIA AVE
BROOKLYN, NY 11207
Kings County (718) 257-8777
EAST SHORE MEDICAL PC
Psychiatry & Neurology (Psychiatry)
1110 PENNSYLVANIA AVE, SUITE 14
BROOKLYN, NY 11207
Kings County (718) 257-0900
IGOR VAYSBAUM RPH
Pharmacist
1110 PENNSYLVANIA AVE, SUITE #12
BROOKLYN, NY 11207
Kings County (718) 257-8777
PALA COMMUNITY CARE LLC
Clinic/Center (Multi-Specialty)
1110 PENNSYLVANIA AVE
BROOKLYN, NY 11207
Kings County (718) 498-1111
MRS. NATALIA BLAZHKEVICH DDS
Dentist
1110 PENNSYLVANIA AVE, SUITE 3
BROOKLYN, NY 11207
Kings County (718) 649-6677
BROOKDALE RX INC.
Pharmacy (Community/Retail Pharmacy)
1110 PENNSYLVANIA AVE
BROOKLYN, NY 11207
Kings County (718) 240-8650
ALLA GLUSKER DO
Family Medicine
1110 PENNSYLVANIA AVE
BROOKLYN, NY 11207
Kings County (718) 240-8639
BLACK DIAMOND DENTAL LLP
Dentist (General Practice)
1110 PENNSYLVANIA AVE, SUITE 3
BROOKLYN, NY 11207
Kings County (718) 649-6677

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 1110 Pennsylvania Avenue Medical PLLC's NPI number?

The NPI number for 1110 Pennsylvania Avenue Medical PLLC is 1730638115. It was assigned to this organization in the NPPES registry on September 27, 2016.

Where is 1110 Pennsylvania Avenue Medical PLLC located?

1110 Pennsylvania Avenue Medical PLLC is located at 1110 Pennsylvania Ave Suite 5, Brooklyn, NY 11207. The listed phone number is (646) 942-2842.

What is 1110 Pennsylvania Avenue Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for 1110 Pennsylvania Avenue Medical PLLC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.