Entrovia Medical P.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

169274 Issued in NY

Legal business name

ENTROVIA MEDICAL P.C.

Practice address

6384 Saunders St
Suite #2U
Rego Park, NY 11374-3108

Phone

(718) 897-0573

NPI assigned

Jan 26, 2010

Last updated

Jan 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evens Saint Cyrus, M.D.

Title

President

Phone

(917) 270-4980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1043541360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6384 SAUNDERS ST",
            "address_2": "SUITE #2U",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743108",
            "telephone_number": "718-897-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6384 SAUNDERS ST",
            "address_2": "SUITE #2U",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743108",
            "telephone_number": "718-897-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTROVIA MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "SAINT CYRUS",
        "authorized_official_first_name": "EVENS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-270-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "169274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.