Cityblock Medical Practice Nc, P.c. - Medicare Primary Care in Brooklyn, NY

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Cityblock Medical Practice Nc, P.c. is a medicare enrolled primary clinic (Family Medicine) in Brooklyn, New York. The current practice location for Cityblock Medical Practice Nc, P.c. is 546 Eastern Parkway, Cityblock - Crown Heights, Brooklyn, New York. For appointments, you can reach them via phone at (000) 000-0000. The mailing address for Cityblock Medical Practice Nc, P.c. is 55 Washington St Ste 552, Brooklyn, New York and phone number is () -.

Cityblock Medical Practice Nc, P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760049308. 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 Nc, P.c.
546 Eastern Parkway
Cityblock - Crown Heights
Brooklyn
NY 11225-1604
(000) 000-0000
(718) 604-4828

Map and Direction


Primary Care Clinic Profile

Full NameCityblock Medical Practice Nc, P.c.
SpecialityFamily Medicine
Location546 Eastern Parkway, Brooklyn, New York
Authorized Official Name and PositionOluwatoyin Ajayi (PRESIDENT)
Authorized Official Contact6177100719
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 Nc, P.c.
55 Washington St Ste 552
Brooklyn
NY 11201-1089

Ph: () -		Cityblock Medical Practice Nc, P.c.
546 Eastern Parkway
Cityblock - Crown Heights
Brooklyn
NY 11225-1604

Ph: (000) 000-0000

NPI Details:

NPI Number1760049308
Provider Enumeration Date05/20/2019
Last Update Date05/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5092045211
Medicare Enrollment IDO20191001000793

Medical Identifiers

Medical identifiers for Cityblock Medical Practice Nc, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760049308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363LW0102XNurse Practitioner - Women's Health (* (Not Available))Secondary

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 Nc, P.c. acts as a billing entity for following providers:
Provider NameSamandra N Tann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093830291
PECOS PAC ID: 0547368524
Enrollment ID: I20070614000665
Provider NameAbigail G Devries
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417924952
PECOS PAC ID: 2466480231
Enrollment ID: I20100129000247
Provider NameLauren N Conner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912203522
PECOS PAC ID: 1658551437
Enrollment ID: I20110210001047
Provider NameTiffany Lashelle Thomas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477898062
PECOS PAC ID: 5395054514
Enrollment ID: I20151028002592
Provider NameNeema Hooker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457747842
PECOS PAC ID: 7113207457
Enrollment ID: I20180825000023
Provider NameChelsea N Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235622929
PECOS PAC ID: 6406106681
Enrollment ID: I20180910001512
Provider NameOluwatoyin Ajayi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790912426
PECOS PAC ID: 7517115298
Enrollment ID: I20191001001054
Provider NameScott Gremillion
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306232004
PECOS PAC ID: 0345520540
Enrollment ID: I20200130001807
Provider NameRita Denise Riddick-seels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336556414
PECOS PAC ID: 9830319730
Enrollment ID: I20201015002953
Provider NameJames Benjamin Hooker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316147812
PECOS PAC ID: 1658650791
Enrollment ID: I20201216001909
Provider NameCheryl Bailey Salary
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427269042
PECOS PAC ID: 7719039338
Enrollment ID: I20210820000508
Provider NameCaroline Berchuck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215349683
PECOS PAC ID: 6103192364
Enrollment ID: I20210914002637
Provider NameMohanne Charles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194281691
PECOS PAC ID: 1557602943
Enrollment ID: I20220121002262
Provider NameMariama Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518946763
PECOS PAC ID: 8628033156
Enrollment ID: I20220123000000
Provider NameLoretta Staples
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366697187
PECOS PAC ID: 8123203122
Enrollment ID: I20220222000513
Provider NameNancy Prantl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205203098
PECOS PAC ID: 7214246545
Enrollment ID: I20220404000780
Provider NameDaniel Peter Norris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225339245
PECOS PAC ID: 8729395868
Enrollment ID: I20220603002245
Provider NameRoxanne Chase-wiley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336395532
PECOS PAC ID: 3779626288
Enrollment ID: I20220708000553

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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.