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Physician Compare National (NPI:1457582868)

HEALTHCARE PROVIDER: REBECCA C SUMMERS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1457582868
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4183761331
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091021000427
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SUMMERS
Individual professional last name
Provider First Name REBECCA
Individual professional first name
Provider Middle Name C
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TUFTS UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INFECTIOUS DISEASE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INFECTIOUS DISEASE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name AJS BROOKLYN MEDICAL PRACTICE PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5395970362
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 8
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 16121 JAMAICA AVE
Group Practice or individual's line 1 address
Line 2 Street Address FL 7
Group Practice or individual's line 2 address
City JAMAICA
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 114326113
Group Practice or individual's zip code (9 digits when available)
Phone Number 9294214630
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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