DR. FRITZ BOUTIN (NPI# 1326150475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326150475 |
| Entity Type | Individual |
| Full Name | DR. FRITZ BOUTIN |
| Credential | MD |
| Practice Address |
485 Throop Ave 3rd Floor Brooklyn NY 11212 |
| Mailing Address |
Po Box 74 125 Worth St Rm 901 New York NY 10013-4006 |
| Practice Telephone | 7185742462 |
| Mailing Telephone | 2124428468 |
| Mailing Fax Number | 2124428452 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 132932 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE | 05A94 | 01 |
| NY | GHI | 0105AI | 01 |
| NY | GHI | 0105AH | 01 |
| Street Address |
485 THROOP AVE 3RD FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962976274 | Kings County House Calls Np In Family Health Pllc | General Practice | 3709 Flatlands Ave, Brooklyn, NY 11234-3507 | 2019-01-20 |
| 1306392840 | David Zisha Kinraich | General Practice | 4910 15th Ave Apt 4l, Brooklyn, NY 11219-3236 | 2016-08-25 |
| 1255705075 | Nyc Brook Medical LLC | General Practice | 183 Wilson St Ste 205, Brooklyn, NY 11211-7578 | 2015-11-17 |
| 1811366099 | M S Elisabeth Fanini-lemoine Colon | General Practice | 107 Hart St, Apt.3, Brooklyn, NY 11206-6814 | 2015-09-17 |
| 1407232119 | Andral Mathieu St. Fleur | General Practice | 1023 E 58th St Fl 1, Brooklyn, NY 11234-2517 | 2015-08-04 |
| 1427431568 | Harold Matos Casano | General Practice | 374 Stockholm St Fl 4, Brooklyn, NY 11237-4006 | 2015-07-07 |
| 1467860148 | Jerome Cantor | General Practice | 258 82nd St, Brooklyn, NY 11209-3811 | 2014-07-25 |
| 1225458623 | Lily Xu | General Practice | 757 60th St Fl 1, Brooklyn, NY 11220-4209 | 2014-04-24 |
| 1477974301 | Michel Medical | General Practice | 567 Midwood St, Brooklyn, NY 11203-1110 | 2013-12-19 |
| 1699103200 | Theodor Stanley Kaufman | General Practice | 272 Clinton St, Brooklyn, NY 11201-6145 | 2013-10-16 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.