Active NPI
Nes Medical Services of New York, PC
- Emergency Medicine Physician
- Malone, NY
National Provider Identifier
1053655076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NES MEDICAL SERVICES OF NEW YORK, PC
- Practice address
- 133 Park St
Malone, NY 12953-1243 - Phone
- (518) 483-3000
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Serge Martial
- Title
- Director
- Phone
- (415) 435-4591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
133 Park St
Malone, NY 12953-1243
Mailing address
PO Box 409041
Atlanta, GA 30384-9041
Phone (800) 377-8721
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1053655076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409041",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849041",
"telephone_number": "800-377-8721",
"fax_number": "304-697-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531243",
"telephone_number": "518-483-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NES MEDICAL SERVICES OF NEW YORK, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "MARTIAL",
"authorized_official_first_name": "SERGE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "415-435-4591"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.