Si Medical PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

220812 Issued in NY

Legal business name

SI MEDICAL PC

Practice address

2651 E 14TH St
Brooklyn, NY 11235-3915

Phone

(718) 769-4100

Fax

(718) 769-4105

NPI assigned

Apr 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Clara Tarantul

Title

Administrator

Phone

(718) 769-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winston Lee, M.D.

  • Specialist
  • Brooklyn, NY
  • NPI 1396709143
  Medicare reassignment NPD

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1043453244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "718-769-4100",
            "fax_number": "718-769-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "718-769-4100",
            "fax_number": "718-769-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "TARANTUL",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-769-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "220812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nastasia Shygaieva
• Iosif Gregory Shyknevsky, D.D.S
• Liljana Shyti
• Liliya Shytsman, M.S
• Justin Shyu
• Seongpan Si, M.D.
• Shaneen Ched Hembrador Sia
• Natalia Siadniova
• Mohamed Siam
• Kathleen Elena Siano, OTR/L

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

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

Verify at the official NPI Registry.