OMNI MEDICAL (NPI# 1801347141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801347141 |
| Entity Type | Organization |
| Organization Name | OMNI MEDICAL |
| Practice Address |
765 Nostrand Ave Brooklyn NY 11216-4203 |
| Practice Telephone | 7184330044 |
| Practice Fax Number | 7184334644 |
| Mailing Telephone | 7184330044 |
| Mailing Fax Number | 7184334644 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | DR. EVANS CREVECOEUR (PRESIDENT) |
| Authorized Official Telephone | 7184330044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OMNI MEDICAL CARE P.C. | 44 Acorn Ponds Drive, Roslyn, Ny 11576 |
| Vermont Business Registrations | OMNI MEDICAL CORPORATION | 115 Catamount Drive, Milton, VT 05468 |
| Connecticut Business Registrations | OMNI MEDICAL DIAGNOSTICS PROFESSIONAL CORPORATION | 1 Citizens Plaza, 8th Flr., Providence, RI 02903 |
| Connecticut Business Registrations | OMNI MEDICAL DIAGNOSTICS, LLC | 5 Riverside Street, Portsmouth, RI 02871 |
| Massachusetts Corporations | OMNI MEDICAL DIAGNOSTICS, LLC | 5 Riverside St., Portsmouth, RI 02871-0000 |
| System for Award Management (SAM) Entities | OMNI MEDICAL LOGISTICS LLC | 8299 Country Rd 208, Saint Augustine, FL 32092-0031 |
| Colorado Business Entities | Omni Medical Management LLC | 1155 S Havana St #11-305, Aurora, CO 80012 |
| New York State Corporations | OMNI MEDICAL OF NY, P.C. | 115 East 57th Street, Suite 1240, New York, Ny 10022 |
| Colorado Business Entities | Omni Medical Sales, LLC | 10444 Colby Canyon Dr, Highlands Ranch, CO 80129 |
| New York State Corporations | OMNI MEDICAL SERVICES P.C. | 200 Motor Pkwy, D-23, Hauppauge, Ny 11788 |
| Street Address |
765 NOSTRAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11216-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437231701 | Elaine Patricia Brown | Obstetrics & Gynecology | 765 Nostrand Ave, Brooklyn, NY 11216-4203 | 2006-10-19 |
| 1952889248 | Kan Zhang Md Mba Consulting Pllc | Clinic/Center | 765 Nostrand Ave, Brooklyn, NY 11216-4203 | 2018-07-30 |
| 1841655297 | Omnicare Multi Specialty,pc | Medical Genetics, Ph.D. Medical Genetics | 765 Nostrand Ave, Brooklyn, NY 11216-4203 | 2015-12-29 |
| 1245603398 | Alford A Smith Md PC | Family Medicine | 765 Nostrand Ave, Brooklyn, NY 11216-4203 | 2015-11-10 |
| 1538582275 | Alicia Pharma LLC | Pharmacy | 765 Nostrand Ave, Brooklyn, NY 11216-4203 | 2014-01-31 |
| 1497073233 | 765 Dental PC | Dentist | 765 Nostrand Ave, Brooklyn, NY 11216 | 2010-05-04 |
| 1477621852 | Alford A Smith | Family Medicine | 765 Nostrand Ave, Brooklyn, NY 11216-4203 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
| 1255984613 | Raushanah A. Smith | Registered Nurse | 141 Madison St., #1, Brooklyn, NY 11216 | 2019-07-24 |
| 1871073171 | Jillian N Beam | Counselor | 763-765 Nostrand Ave, Ste#1, Brooklyn, NY 11216 | 2018-08-16 |
| 1598250086 | Hope Lakeisha Garvin | Social Worker | 763-765 Nostrand Ave, Brooklyn, NY 11216 | 2018-06-27 |
| 1982192233 | Katharine Ha | Social Worker | 278 Quincy St. #4, Brooklyn, NY 11216 | 2018-04-23 |
| 1205340254 | Bed Stuy Acupuncture and Massage Therapy Pllc | Acupuncturist | 1069 Bedford Ave Storefront, Brooklyn, NY 11216 | 2017-11-29 |
| 1619497104 | Aras Occupational Therapy Pllc | Occupational Therapist | 29 Macdonough St, 4g, Brooklyn, NY 11216 | 2017-06-26 |
| 1033648621 | Yaneth Lombana | Social Worker | 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 | 2017-06-07 |
| 1922495944 | James Leroy Barry Robinson Jr. | Social Worker | 3 Macdonough St Apt 4l, Brooklyn, NY 11216 | 2015-04-16 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| Find all providers in zip 11216 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811347404 | Wyckoff Doctors | Clinic/Center | 1419 Myrtle Avenue, Wyckoff Doctors, Brooklyn, NY 11237-4512 | 2016-06-15 |
| 1629443353 | Brookdale Family Care Center, Inc. | Clinic/Center | 465 New Lots Avenue At Wyona Street, Bfcc New Lots, Brooklyn, NY 11207-6414 | 2015-12-07 |
| 1144693607 | Doral Medical and Multi Specialty Facility LLC | Clinic/Center | 1797 Pitkin Ave, Brooklyn, NY 11212-7841 | 2015-11-05 |
| 1750791877 | Quick Docs Medical, Pllc | Clinic/Center | 256 Utica Ave, Brooklyn, NY 11213-4029 | 2014-04-28 |
| 1982946877 | Forest Hills Medical & Diagnostic | Clinic/Center | 1735 Pitkin Ave, Brooklyn, NY 11212-6603 | 2013-03-19 |
| 1013293588 | Physio Logic Medicine, P.C. | Clinic/Center | 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201 | 2011-10-28 |
| 1124290291 | Altair Medical, P.C. | Clinic/Center | 1115 Ocean Pkwy Ste 1, Brooklyn, NY 11230-4075 | 2008-03-29 |
| 1609048073 | Shorefront Medical Care | Clinic/Center | 2010 86th St, Brooklyn, NY 11214-3204 | 2008-03-26 |
| 1780895094 | Lyudmila Cavalier Physician PC | Clinic/Center | 9014 Flatlands Ave, Brooklyn, NY 11236-3616 | 2007-05-25 |
| 1821210402 | Crown Heights Medical, P.C. | Clinic/Center | 540 E New York Ave, Brooklyn, NY 11225-4514 | 2007-05-03 |
| 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.