1120 BRIGHTON MEDICAL GROUP (NPI# 1790804227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790804227 |
| Entity Type | Organization |
| Organization Name | 1120 BRIGHTON MEDICAL GROUP |
| Other Organization Name | BRIGHTON MEDICAL GROUP PHYSICIAN LAB |
| Practice Address |
1120 Brighton Beach Ave Ste 1x Brooklyn NY 11235 |
| Mailing Address |
1120 Brighton Beach Ave Ste #1x Brooklyn NY 11235 |
| Practice Telephone | 7183683179 |
| Practice Fax Number | 7183683179 |
| Mailing Telephone | 7183683179 |
| Mailing Fax Number | 7183683179 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEON ABRAMOUICH NITKIN (PARTNER) |
| Authorized Official Telephone | 7183683179 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NY | Laboratories |
| Other Name | Type Code |
|---|---|
| Brighton Medical Group Physician Lab | Doing Business As Name - Organization |
| Street Address |
1120 BRIGHTON BEACH AVE STE 1X |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123597 | Olga Tyuleneva | Pain Medicine | 1120 Brighton Beach Ave, Unit 1xz, Brooklyn, NY 11235-5572 | 2005-09-01 |
| 1588966683 | Ramon Cabanas Md PC | Surgery | 1120 Brighton Beach Ave, Brooklyn, NY 11235-5572 | 2010-11-22 |
| 1932318730 | Larisa Nido | Dental Hygienist | 1120 Brighton Beach Ave, Brooklyn, NY 11235-5572 | 2007-05-21 |
| 1669689808 | Healthy Life Medical PC | Anesthesiology | 1120 Brighton Beach Ave, Suite 6 0, Brooklyn, NY 11235 | 2007-05-17 |
| 1942424270 | Esfira Feldman | Specialist | 1120 Brighton Beach Ave, Brooklyn, NY 11235-5572 | 2007-04-11 |
| 1811017916 | Leon Abramovich Nitkin | Obstetrics & Gynecology | 1120 Brighton Beach Ave, Brooklyn, NY 11235 | 2007-03-30 |
| 1962520767 | Metropol Medical PC | Internal Medicine | 1120 Brighton Beach Ave, Ste 60, Brooklyn, NY 11235 | 2007-03-27 |
| 1063558567 | Ora Medical Pllc | Pain Medicine | 1120 Brighton Beach Ave, Unit 1xz, Brooklyn, NY 11235-5508 | 2007-01-30 |
| 1740350339 | Inna Yurkovetskaya | Psychiatry & Neurology | 1120 Brighton Beach Ave, 1 Z, Brooklyn, NY 11235-5572 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1609491216 | Amedix | Clinical Medical Laboratory | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-06-09 |
| 1265060289 | Biotia, Inc. | Clinical Medical Laboratory | 140 58th St., Building A Suite 8j, Brooklyn, NY 11220-1122 | 2020-03-27 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1699279570 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 153 Wamplers Lake Rd, Brooklyn, MI 49230-9585 | 2018-03-23 |
| 1467805952 | Diagnostics In Totality Inc | Clinical Medical Laboratory | 816 45th St, Brooklyn, NY 11220-1611 | 2016-07-20 |
| 1932589041 | L&m Lab Corp | Clinical Medical Laboratory | 2960 Ocean Ave Fl 5, Brooklyn, NY 11235-3202 | 2015-06-03 |
| 1245628163 | Park Vascular LLC | Clinical Medical Laboratory | 990 E 23rd St, Brooklyn, NY 11210-3622 | 2014-12-30 |
| 1417355678 | Atlantic Diagnostics LLC | Clinical Medical Laboratory | 1642 W 9th St, Brooklyn, NY 11223-1247 | 2014-12-19 |
| 1588093165 | Shiel Holdings LLC | Clinical Medical Laboratory | 63 Flushing Avenue, Unit 336, 2nd Floor, Brooklyn, NY 11205-1083 | 2013-11-05 |
| 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.