BROOKLYN CANCER CARE MEDICAL PC – NPI #1790036234
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

BROOKLYN CANCER CARE MEDICAL PC is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1790036234 to BROOKLYN CANCER CARE MEDICAL PC on September 24, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 3 years ago on Sep 19, 2023. 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 BROOKLYN CANCER CARE MEDICAL PC below.

NPI Profile for
BROOKLYN CANCER CARE MEDICAL PC

NPI Number
1790036234
Enumeration Date

(more than 13 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
BROOKLYN CANCER CARE MEDICAL PC
Primary location
672 UTICA AVE
BROOKLYN, NY 11203-2210
Phone: (718) 221-9999 Fax: (516) 693-9285
Mailing address
123 BACON RD
OLD WESTBURY, NY 11568-1304
Phone: (718) 221-9999 Fax: (516) 693-9285
Organization Subpart
No
Authorized Official
RATESH KHILLAN
MD
Phone: (718) 221-9999
Updated
Certification Date
Sep 19, 2023

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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 NY 266181

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.