MEDICARE: IMPACT CARE PHYSICIANS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902789696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPACT CARE PHYSICIANS PC

Provider Business Mailing Address
First Line	:	250 SKILLMAN ST STE 202
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 SKILLMAN ST STE 202
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1218
Country	:	US
Telephone Number	:	212-734-6621
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELI WERCBERGER
Credential	:	DO
Telephone Number	:	212-734-6621

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	02/02/2026

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Directions to “IMPACT CARE PHYSICIANS PC ” Practice Location

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