SPECIAL MEDICAL PC – NPI #1548700925
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

SPECIAL MEDICAL PC is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1548700925 to SPECIAL MEDICAL PC on March 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was last updated on Mar 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECIAL MEDICAL PC below.

NPI Profile for
SPECIAL MEDICAL PC

NPI Number
1548700925
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECIAL MEDICAL PC
Primary location
699 B STANLEY AVENUE
BROOKLYN, NY 11207
Phone: (347) 689-8880 Fax: (347) 689-8860
Mailing address
225 BROADWAY STE 910
NEW YORK, NY 10007-3008
Phone: (212) 571-5000 Fax: (347) 689-8860
Organization Subpart
No
Authorized Official
ILYA KLEYN
PRESIDENT
Phone: (212) 571-5000
Updated
Certification Date
Mar 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
NY 215006

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.