Clinic/Center (Multi-Specialty)

Address: 2079 E 23rd St Ste C, Brooklyn, NY 11229-3627

VERSALIS MED INC (NPI# 1376138800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376138800
Entity Type Organization
Organization Name VERSALIS MED INC
Practice Address 2079 E 23rd St Ste C
NY 11229-3627
Practice Telephone 3479093063
Mailing Address 2079 E 23rd St Ste C
NY 11229-3627
Mailing Telephone 3479093063
Certification Date 2021-03-06
Enumeration Date 2021-03-06
Last Update Date 2021-03-06
Authorized Official Telephone 3479093063
Authorized Official Credential PHD
Is Organization Subpart N


Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL Formstacks 2079 E 23rd St Ste C, Brooklyn, NY 112293627 Direct

Office Location

Street Address 2079 E 23RD ST STE C
State NY
Zip Code 11229-3627

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639764772 Kiran Khan Student in an Organized Health Care Education/Training Program 2079 E 23rd St Ste C, Brooklyn, NY 11229-3627 2021-03-01

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1053904722 Care Now Dme, Inc Durable Medical Equipment & Medical Supplies · Customized Equipment 1725 E 12th St Ste Ll2, Brooklyn, NY 11229 2021-02-14
1649861873 Wellness Counseling Services, Lcsw Clinic/Center · Adult Mental Health 2294 East 15th Street Apt. 2, Brooklyn, NY 11229 2021-01-31
1396331625 Ebony Green Licensed Practical Nurse 1623 Kings Highway, Brooklyn, NY 11229 2020-12-21
1063041291 Nastasia Shygaieva Counselor · Mental Health 2 Ivan Court, House, Brooklyn, NY 11229 2020-04-08
1881225340 Shawnae Speights Case Manager/Care Coordinator 2748 Ocean Ave, 4th Floor, Brooklyn, NY 11229 2020-02-03
1700430253 Nicole Komisar Case Manager/Care Coordinator 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 2019-08-01
1043864507 Zulfiyakhon Tashpulatova Case Manager/Care Coordinator 2148 Ocean Avenue Suite 302, Brooklyn, NY 11229 2019-08-01
1639723950 Refuah Diagnostics LLC Technician 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 2019-07-25
1083275606 Alice W Davis Registered Nurse 1663 E 17th St, Brooklyn, NY 11229 2019-06-25
1720647530 Santos Gustavo Zelaya IIi Counselor · Mental Health 1623 Kings Hwy, Brooklyn, NY 11229 2019-06-06
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619569308 Paul Cohen Gastroenterology, P.C. 1336 Utica Ave, Brooklyn, NY 11203-5912 2021-02-04
1730780719 Eleyinafe Medical Care PC 1720 E 14th St, Brooklyn, NY 11229-2088 2020-11-05
1295335784 Hescott Nutrition Services. LLC 261 Lenox Rd Apt 6a, Brooklyn, NY 11226-8537 2020-10-26
1326699117 Brooklyn Medical Services of Ny 1575 E 19th St, Brooklyn, NY 11230-7203 2019-09-24
1790331080 Pavel Gozenput Medical PC 2083 E 65th St, Brooklyn, NY 11234-5913 2019-08-13
1235655481 Deepa Malieckal Md PC 242 Dekalb Ave Fl 2, Brooklyn, NY 11205-4118 2017-08-18
1144764069 Urgentway Medicine Pllc 408 77th St, Brooklyn, NY 11209-3243 2016-12-12
1801347141 Omni Medical 765 Nostrand Ave, Brooklyn, NY 11216-4203 2016-10-21
1811347404 Wyckoff Doctors 1419 Myrtle Avenue, Wyckoff Doctors, Brooklyn, NY 11237-4512 2016-06-15
1376993964 Wyckoff Medical Associates, PC 374 Stockholm Street, Wyckoff Medical Associates, PC, Brooklyn, NY 11237-4006 2016-06-15
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Zip Code 11229

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Dataset Information

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.