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BORO PARK MEDICAL P.C.
NPI 1790815736
Internal Medicine in Brooklyn, NY

Active since March 07, 2007
1379 54TH ST, BROOKLYN, NY 11219(718) 436-1600(718) 436-2085 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boro Park Medical P.c. NPPES

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

BORO PARK MEDICAL P.C. (NPI 1790815736) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since March 2007. The organization lists Josif Sholomon, Owner, as its authorized official.

NPPES Registry Identity

NPI1790815736
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBORO PARK MEDICAL P.C.
Location Address1379 54TH STBrooklyn, NY 11219-4259
Mailing Address1379 54th StBrooklyn, NY 11219-4259 · (718) 436-1600 · Fax (718) 436-2085
Phone(718) 436-1600
Fax(718) 436-2085
Organization SubpartNo
Authorized OfficialJosif SholomonOwner · (718) 436-1600
Enumeration DateMarch 7, 2007
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1790815736 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 · 189657
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.
1379 54TH ST, Brooklyn, NY 11219
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Other Identifiers 5

Medicare NSC4836970001NY
Medicaid02559608NY
Medicare PINW34701NY
Other2596135NY · Ghi
Other7218155NY · Aetna

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

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 Compliance 33D0714560

Boro Park Medical PC A & S Medical · Brooklyn, NY
Expired · Jul 31, 2026
CLIA Number33D0714560
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Josif Sholomon
Laboratory Phone(718) 436-1600
Laboratory LocationBoro Park Medical PC A & S Medical1379 54th Street, Brooklyn, NY 11219
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

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

MS. DIANNA SHOLOMON MD
Internal Medicine
1379 54TH ST
BROOKLYN, NY 11219
Kings County (718) 436-1600
DR. LILY WEINSTEIN M.D.
Internal Medicine
1379 54TH ST, SUITE 1
BROOKLYN, NY 11219
Kings County (718) 436-1600
DR. RICHARD ARMAND LACERTE JR. DPM
Podiatrist (Foot & Ankle Surgery)
1379 54TH ST, SUITE 2
BROOKLYN, NY 11219
Kings County (718) 436-4220
DR. MARK AZBEL M.D.
Internal Medicine
1379 54TH ST, SUITE 1
BROOKLYN, NY 11219
Kings County (718) 436-1600
IDA MEDICAL PLAZA PC
Physical Therapist
1379 54TH ST
BROOKLYN, NY 11219
Kings County (718) 853-8503
DR. JOSIF SHOLOMON M.D.
Internal Medicine
1379 54TH ST, SUITE 1
BROOKLYN, NY 11219
Kings County (718) 436-1600
DR. ANDREW ZARETSKY M.D.
Internal Medicine
1379 54TH ST, SUITE 1
BROOKLYN, NY 11219
Kings County (718) 436-1600
KINGS MEDICAL PC
Physical Medicine & Rehabilitation
1379 54TH ST
BROOKLYN, NY 11219
Kings County (347) 603-5647

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 Boro Park Medical P.C.'s NPI number?

The NPI number for Boro Park Medical P.C. is 1790815736. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Boro Park Medical P.C. located?

Boro Park Medical P.C. is located at 1379 54th St, Brooklyn, NY 11219. The listed phone number is (718) 436-1600.

What is Boro Park Medical P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Boro Park Medical P.C. was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.