Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

21st Avenue Medical Plaza PC

Organization Family Medicine Physician · NPI 1134256761

21st Avenue Medical Plaza PC is a Family Medicine Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2101 E 16th St
Brooklyn, NY 11229-4401
Phone: (718) 266-9779
Fax: (718) 645-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 219865 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 208817 (NY)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 219865 (NY)

Record details

NPI number1134256761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samira Ovshaev — Physician · (718) 266-9779
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMarch 7, 2023
Mailing address2101 E 16th St, Brooklyn, NY 11229-4401

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