NPIMap

Organization Active NPI

Sia Medical PC

Doing business as Flyte Medical PC

  • Obesity Medicine (Preventive Medicine) Physician
  • New York, NY
National Provider Identifier
1043889967
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
SIA MEDICAL PC
Doing business as
Flyte Medical PC
Practice address
76 East 71St Street
#10B
New York, NY 10021
Phone
(646) 397-0208
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
David Bass
Title
Coo
Phone
(415) 710-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

76 East 71St Street
#10B
New York, NY 10021

Mailing address

176 E 71St St # 10B
New York, NY 10021-5159

Other names 1

  • Flyte Medical PC Doing business as

National Provider Directory

National Provider Directory

Locations

69 Grove St
New Canaan, CT 06840
Phone (646) 397-0208

148 E 38th St
Frnt 1
New York, NY 10016
Phone (212) 679-4488

176 E 71st St
#10B
New York, NY 10021

176 E 71st St
Ste 10B
New York, NY 10021

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1043889967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E 71ST ST # 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 EAST 71ST STREET",
            "address_2": "#10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "646-397-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-710-7775"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flyte Medical PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flyte Medical PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.