ADULT AND GERIATRIC MEDICAL CARE PC – NPI #1366567414
Internal Medicine

An internist who has 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.

ADULT AND GERIATRIC MEDICAL CARE PC is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1366567414 to ADULT AND GERIATRIC MEDICAL CARE PC on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 4 years ago on Sep 20, 2022. 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 ADULT AND GERIATRIC MEDICAL CARE PC below.

NPI Profile for
ADULT AND GERIATRIC MEDICAL CARE PC

NPI Number
1366567414
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
ADULT AND GERIATRIC MEDICAL CARE PC
Primary location
4802 10TH AVE FL 10
BROOKLYN, NY 11219-2916
Phone: (917) 609-5537 Fax: (718) 630-3761
Mailing address
157 BEAUMONT ST
BROOKLYN, NY 11235-4118
Phone: (917) 609-4748 Fax: (718) 630-3761
Organization Subpart
No
Authorized Official
DIANA LEVINA
PRESIDENT
Phone: (917) 609-5537
Updated
Certification Date
Sep 20, 2022

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.

Identifiers

Identifiers for ADULT AND GERIATRIC 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
medicaidNY03416084
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
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
261Q00000X
- Clinic/Center
NY 234232

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.