| Jrr Medical PC | |
|
2569 Ocean Ave Ste 3 Brooklyn NY 11229-4576 | |
| (718) 210-2960 | |
| (718) 744-9374 |
| Full Name | Jrr Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2569 Ocean Ave Ste 3, Brooklyn, New York |
| Authorized Official Name and Position | Jason Rubinov (OWNER) |
| Authorized Official Contact | 7182102960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrr Medical PC 139 N 3rd St Brooklyn NY 11249-3933 Ph: (718) 210-2960 | Jrr Medical PC 2569 Ocean Ave Ste 3 Brooklyn NY 11229-4576 Ph: (718) 210-2960 |
| NPI Number | 1891345666 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Medicare PECOS PAC ID | 8820320690 |
|---|---|
| Medicare Enrollment ID | O20191028001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891345666 | NPI | - | NPPES |
| 280210 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Gabriel S Levi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205834140 PECOS PAC ID: 8921007113 Enrollment ID: I20061218000112 |
| Provider Name | Jason Rubinov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154697472 PECOS PAC ID: 1759629207 Enrollment ID: I20190711002119 |
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