Idmed Care Pllc
LBN: Idmed Care Pllc
Idmed Care Pllc is an health care organization with primary practice located at 142 Joralemon St Ste 9B, Brooklyn NY 11201. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Idmed Care Pllc can be contacted via phone (718) 858-1732, or through Calubiran, Ofelia V via phone (718) 858-1732.
Contact Information
Primary practice address
142 Joralemon St Ste 9B
Brooklyn NY 11201
Phone: (718) 858-1732
Fax: (718) 596-3332
Website:
Authorized official contact:
Name: Calubiran, Ofelia V Doctor of Medicine (MD)
Phone: (718) 858-1732
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 175306 | New York |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 175306 | New York |
Profile Details
| NPI number | 1518174267 |
|---|---|
| LBN Legal business name | Idmed Care Pllc |
| DBA Doing business as | |
| Authorized official | Calubiran, Ofelia V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518174267 | NPPES |
| New York | MEDICAID | 0162374 |
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