Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SUITE 69 MEDICAL PC
Active
Organization
SUITE 69 MEDICAL PC
Active
Other names
MINDCORE
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY-JAN BLACKETT-BONNETT MD (AUTHORIZED OFFICIAL)
(347) 404-6508
Entity
Organization
Contact information
Practice address
275 9TH ST STE 69, BROOKLYN, NY 11215-4457
(347) 404-6508
Mailing address
275 9TH ST STE 69, BROOKLYN, NY 11215-4457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
04/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up