Cityblock Medical Practice - Medicare Primary Care in Brooklyn, NY

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Cityblock Medical Practice is a medicare enrolled primary clinic (Family Medicine) in Brooklyn, New York. The current practice location for Cityblock Medical Practice is 546 Eastern Pkwy Fl 1, Brooklyn, New York. For appointments, you can reach them via phone at (000) 000-0000. The mailing address for Cityblock Medical Practice is 495 Flatbush Ave Ste C5, Brooklyn, New York and phone number is (800) 336-1100.

Cityblock Medical Practice is licensed to practice in New York (license number 292657-1). The clinic also participates in the medicare program and its NPI number is 1912491770. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (000) 000-0000.

Contact Information

Cityblock Medical Practice
546 Eastern Pkwy Fl 1
Brooklyn
NY 11225-1604
(000) 000-0000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCityblock Medical Practice
SpecialityFamily Medicine
Location546 Eastern Pkwy Fl 1, Brooklyn, New York
Authorized Official Name and PositionOluwatoyin Ajayi (PRESIDENT)
Authorized Official Contact8003361100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cityblock Medical Practice
495 Flatbush Ave Ste C5
Brooklyn
NY 11225-3706

Ph: (800) 336-1100		Cityblock Medical Practice
546 Eastern Pkwy Fl 1
Brooklyn
NY 11225-1604

Ph: (000) 000-0000

NPI Details:

NPI Number1912491770
Provider Enumeration Date06/15/2018
Last Update Date05/25/2023
Certification Date05/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6608220389
Medicare Enrollment IDO20230928003498

Medical Identifiers

Medical identifiers for Cityblock Medical Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912491770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 292657-1 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cityblock Medical Practice acts as a billing entity for following providers:
Provider NameMaria Duda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033315759
PECOS PAC ID: 9133213937
Enrollment ID: I20070925000222
Provider NameKarinn Glover
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992918056
PECOS PAC ID: 1355480245
Enrollment ID: I20091207000334
Provider NameLaura Connor
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1366875064
PECOS PAC ID: 3971732330
Enrollment ID: I20140205000016
Provider NameMarney Gruber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083857601
PECOS PAC ID: 9830345867
Enrollment ID: I20150720000450
Provider NameOluwatoyin T Ajayi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790912426
PECOS PAC ID: 7517115298
Enrollment ID: I20180709001208
Provider NameLaura Sander
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386806966
PECOS PAC ID: 2264608363
Enrollment ID: I20220530000022
Provider NameBritt-marie Cables
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164791851
PECOS PAC ID: 0941465934
Enrollment ID: I20220713000464
Provider NameMegan Tosato
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1831628569
PECOS PAC ID: 4082987078
Enrollment ID: I20240415001890
Provider NameTracey Brebner
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1386665271
PECOS PAC ID: 0547362584
Enrollment ID: I20240809000778
Provider NameSophia Hammonds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417330085
PECOS PAC ID: 3678874724
Enrollment ID: I20240809000828
Provider NameJason Depasquale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053714188
PECOS PAC ID: 8820419435
Enrollment ID: I20240809000880
Provider NameAndrew Keyser
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225442023
PECOS PAC ID: 8921375130
Enrollment ID: I20240809000996
Provider NameDaniel Mcguire
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1083181085
PECOS PAC ID: 0446599476
Enrollment ID: I20240809001295
Provider NameJessica Pulliam
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1467653790
PECOS PAC ID: 1557443629
Enrollment ID: I20240809001432
Provider NameDhruva Kothari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063771574
PECOS PAC ID: 6305149154
Enrollment ID: I20240809001548
Provider NameSusana Sanchez Guzman
Provider TypePractitioner - Neuropsychiatry
Provider IdentifiersNPI Number: 1467748590
PECOS PAC ID: 1052603040
Enrollment ID: I20240809003108
Provider NameRachael Weiner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659777522
PECOS PAC ID: 3476834961
Enrollment ID: I20240909002165
Provider NameSunil Shroff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164457875
PECOS PAC ID: 8224929831
Enrollment ID: I20250521001592
Provider NameAlexis Diaz-ramos
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669836706
PECOS PAC ID: 0345537361
Enrollment ID: I20250620003091
Provider NameWilliam Garcia
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952728156
PECOS PAC ID: 0446527055
Enrollment ID: I20251128000506
Provider NameSherri Parker
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1356304968
PECOS PAC ID: 4880594621
Enrollment ID: I20251129000218
Provider NameYavar Moghimi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982879185
PECOS PAC ID: 8325216294
Enrollment ID: I20251129000360
Provider NameSam Crowning
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1285182766
PECOS PAC ID: 1153600168
Enrollment ID: I20251209002363
Provider NameAshley Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124578513
PECOS PAC ID: 4688954431
Enrollment ID: I20260310003184
Provider NameAshley Bell
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1336432046
PECOS PAC ID: 6305018649
Enrollment ID: I20260311001809
Provider NameJaime Bristow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598250797
PECOS PAC ID: 5698029726
Enrollment ID: I20260311003662

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.