EXECUTIVE HEALTH MEDICAL CARE PC – NPI #1942352687
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

EXECUTIVE HEALTH MEDICAL CARE PC is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1942352687 to EXECUTIVE HEALTH MEDICAL CARE PC on January 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 EXECUTIVE HEALTH MEDICAL CARE PC below.

NPI Profile for
EXECUTIVE HEALTH MEDICAL CARE PC

NPI Number
1942352687
Enumeration Date

(more than 19 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
EXECUTIVE HEALTH MEDICAL CARE PC
Primary location
7901 BAY PARKWAY
SUITE 1B
BROOKLYN, NY 11214
Phone: (718) 236-1222 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HELEN SHAKH
PRESIDENT
Phone: (718) 236-1222
Updated
Identifiers

Identifiers for EXECUTIVE HEALTH MEDICAL CARE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02585775
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

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.