Organization Active NPI

S & G Medical Services, P.C.

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1013614494
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
S & G MEDICAL SERVICES, P.C.
Practice address
3350 Victory Blvd Unit a
Staten Island, NY 10314-6792
Phone
(718) 331-6064
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Surender Gorukanti, MD
Title
President
Phone
(718) 331-6064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3350 Victory Blvd Unit a
Staten Island, NY 10314-6792

Mailing address

3350 Victory Blvd Unit a
Staten Island, NY 10314-6792

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1013614494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 VICTORY BLVD UNIT A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 VICTORY BLVD UNIT A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146792",
            "telephone_number": "718-331-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & G MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "GORUKANTI",
        "authorized_official_first_name": "SURENDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-331-6064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.