Ex LS Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EX LS MEDICAL PC

Practice address

2626 E 14TH St Ste 207
Brooklyn, NY 11235-3977

Phone

(718) 615-9000

NPI assigned

Aug 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lyudmila M Slupsky

Title

Internal Medicine

Phone

(718) 615-9000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1013140789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353977",
            "telephone_number": "718-615-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353977",
            "telephone_number": "718-615-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EX LS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "SLUPSKY",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "718-615-9000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.