Provider Demographics
NPI:1700022522
Name:BEST CARE EVER MED GROUP, PC
Entity Type:Organization
Organization Name:BEST CARE EVER MED GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GORIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-220-2433
Mailing Address - Street 1:435 FT WASHINGTON AVENUE
Mailing Address - Street 2:2B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3527
Mailing Address - Country:US
Mailing Address - Phone:212-923-0408
Mailing Address - Fax:212-923-4032
Practice Address - Street 1:3038 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1334
Practice Address - Country:US
Practice Address - Phone:718-220-2433
Practice Address - Fax:718-220-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190663207ZP0102X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01740610Medicaid
NY190663OtherLICENSE
NY190663OtherLICENSE
NY817681Medicare PIN
NYBG3446425OtherDEA