DR. ANDREW D BLACK (NPI# 1669550687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669550687 |
| Entity Type | Individual |
| Full Name | DR. ANDREW D BLACK |
| Credential | M.D |
| Practice Address |
629 Eastern Pkwy Brooklyn NY 11213-3354 |
| Practice Telephone | 7187566200 |
| Practice Fax Number | 7187566204 |
| Mailing Telephone | 7187566200 |
| Mailing Fax Number | 7187566204 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 143801 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1548408669 | Andrew P Black | Podiatrist | 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 | 2009-01-27 |
| 1457480659 | Andrew Steven Black | Chiropractor | 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 | 2007-03-05 |
| 1659318020 | Andrew James Black | Internal Medicine | 2215 Burdett Ave., Hmp of Samaritan, Troy, NY 12180-2466 | 2006-06-02 |
| 1851392351 | Andrew William Black | Internal Medicine | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2005-08-09 |
| 1346726999 | Andrew Black | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2018-07-17 |
| 1740787241 | Andrew Black | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-04-11 |
| 1306204193 | Andrew Black | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| 1245620137 | Andrew Black IIi | Physical Therapist | 1725 Laskin Rd, Virginia Beach, VA 23454 | 2015-01-29 |
| 1063838720 | Andrew Allen Black | Massage Therapist | 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 | 2014-03-05 |
| Street Address |
629 EASTERN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340683 | Ransford Newman | Otolaryngology | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2006-03-20 |
| 1538789359 | Eat Yer Veggies LLC | Clinic/Center | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2020-04-22 |
| 1508410556 | Caylee Clay | Dietitian, Registered | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2019-07-29 |
| 1053973115 | Tatsiana Palavets | Optometrist | 629 Eastern Pkwy, Brooklyn, NY 11213-3354 | 2019-06-28 |
| 1114311750 | Benjamin Arthur O.d. M.s., PC | Optometrist | 629 Eastern Pkwy, Unit #m4 (202), Brooklyn, NY 11213-3354 | 2015-03-20 |
| 1144660408 | Benjamin Menlah Arthur | Optometrist | 629 Eastern Pkwy, Unit #m4 (202), Brooklyn, NY 11213-3354 | 2013-07-01 |
| 1295866747 | Elite Comprehensive Medical Services Pllc | Clinic/Center | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2007-03-08 |
| 1801937099 | Pace Pediatric Practice PC | Pediatrics | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2007-02-09 |
| 1851312649 | Muhammad H Dogar | Internal Medicine | 629 Eastern Pkwy, Suite 201, Brooklyn, NY 11213-3354 | 2006-07-21 |
| 1205888120 | Claudia M Wilson | Internal Medicine | 629 Eastern Pkwy, Brooklyn, NY 11213-3339 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099115 | East New York Medical Healthcare PC | Internal Medicine | 2673 Atlantic Ave, Brooklyn, NY 11207-2801 | 2020-07-01 |
| 1083242978 | Quratulain Nasir | Internal Medicine | 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 | 2020-03-28 |
| 1831723725 | Pitkin Medical Office P.C. | Internal Medicine | 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 | 2020-02-28 |
| 1083246920 | Dora Johnson | Internal Medicine | 374 Stockholm St # B, Brooklyn, NY 11237-4006 | 2020-02-09 |
| 1245876143 | Richard Casseus | Internal Medicine | 6525 Avenue N, Brooklyn, NY 11234-5622 | 2019-11-26 |
| 1598309569 | Md Care Now P.C. | Internal Medicine | 1849 Utica Ave, Brooklyn, NY 11234-2122 | 2019-11-03 |
| 1609410968 | Zaki Nakach, Md PC | Internal Medicine | 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 | 2019-10-30 |
| 1881158897 | Yuanli Xie Medical PC | Internal Medicine | 749 61st St Ste 403, Brooklyn, NY 11220-5163 | 2019-01-23 |
| 1689146417 | Frederik Peter Lindberg | Internal Medicine | 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 | 2018-12-18 |
| 1598233033 | Greenfield Medical | Internal Medicine | 1716 E 28th St, Brooklyn, NY 11229-2513 | 2018-11-02 |
| 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.