Healthcare Provider Details

I. General information

NPI: 1679408496
Provider Name (Legal Business Name): BROOK MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 S 3RD ST
PARK RIDGE NJ
07656-1913
US

IV. Provider business mailing address

40 S 3RD ST
PARK RIDGE NJ
07656-1913
US

V. Phone/Fax

Practice location:
  • Phone: 845-362-8400
  • Fax: 845-362-8474
Mailing address:
  • Phone:
  • Fax: 845-362-8474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMY SAKER
Title or Position: OWNER
Credential: MD
Phone: 845-362-8400