Suite 69 Medical PC
NPI 1104634773 · Internal Medicine Physician · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suite 69 Medical PC is a Internal Medicine Physician organization in Brooklyn, NY (NPI 1104634773).
Provider details
- NPI number
- 1104634773
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry-Jan Blackett-Bonnett, Authorized Official(347) 404-6508
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mindcore
Registry dates
- Enumerated
- 2024-12-27
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Frequently asked questions
- What is Suite 69 Medical PC's NPI number?
- Suite 69 Medical PC's National Provider Identifier (NPI) is 1104634773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Suite 69 Medical PC?
- Suite 69 Medical PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Suite 69 Medical PC located?
- Suite 69 Medical PC's practice location on file with NPPES is 275 9th St Ste 69, Brooklyn, NY 11215-4457.
- What is Suite 69 Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Suite 69 Medical PC is (347) 404-6508.
- Does Suite 69 Medical PC accept Medicare?
- Suite 69 Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Suite 69 Medical PC?
- The authorized official listed on Suite 69 Medical PC's NPPES record is Terry-Jan Blackett-Bonnett, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Suite 69 Medical PC's NPI active?
- Yes — Suite 69 Medical PC's NPI (1104634773) is active in the NPPES registry as of the last update on 2025-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.