Dekalb Medical Group PC
NPI 1205020930 · Primary Care Clinic/Center · Brooklyn, NY
Dekalb Medical Group PC is a Primary Care Clinic/Center organization in Brooklyn, NY (NPI 1205020930).
Provider details
- NPI number
- 1205020930
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Lo, President(718) 418-0700
- License
- 193223 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs 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
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2007-09-06
Frequently asked questions
- What is Dekalb Medical Group PC's NPI number?
- Dekalb Medical Group PC's National Provider Identifier (NPI) is 1205020930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dekalb Medical Group PC?
- Dekalb Medical Group PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dekalb Medical Group PC located?
- Dekalb Medical Group PC's practice location on file with NPPES is 122 Saint Nicholas Ave, Brooklyn, NY 11237-4034.
- What is Dekalb Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Dekalb Medical Group PC is (718) 418-0700.
- Who is the authorized official for Dekalb Medical Group PC?
- The authorized official listed on Dekalb Medical Group PC's NPPES record is Peter Lo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dekalb Medical Group PC's NPI active?
- Yes — Dekalb Medical Group PC's NPI (1205020930) is active in the NPPES registry as of the last update on 2007-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.