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

Dekalb Medical Group PC

Organization Primary Care Clinic/Center · NPI 1205020930

Dekalb Medical Group PC is a Primary Care Clinic/Center in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

122 Saint Nicholas Ave
Brooklyn, NY 11237-4034
Phone: (718) 418-0700
Fax: (718) 418-2179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 193223 (NY)

Record details

NPI number1205020930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Lo — President · (718) 418-0700
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 6, 2007
Mailing address58 Irving St, Valley Stream, NY 11580-1635

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