Organization Active NPI

Ramez Sulaiman Medical Practice PLLC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1063879807
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265709 Issued in NY
Legal business name
RAMEZ SULAIMAN MEDICAL PRACTICE PLLC
Practice address
408 77TH St
Suite A3
Brooklyn, NY 11209-3243
Phone
(718) 238-2456
Fax
(718) 238-1840
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Dr. Ramez Ahmad Sulaiman, MDNPI 1770816597
Title
Owner
Phone
(718) 238-2456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 265709 NY Primary

Addresses

Primary practice location

408 77TH St
Suite A3
Brooklyn, NY 11209-3243

Mailing address

408 77TH St
Suite A3
Brooklyn, NY 11209-3243
Phone (718) 238-2456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330000657 NY Part B Supplier - Clinic/Group Practice 1557668928 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1063879807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 77TH ST",
            "address_2": "SUITE A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093243",
            "telephone_number": "718-238-2456",
            "fax_number": "718-238-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 77TH ST",
            "address_2": "SUITE A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093243",
            "telephone_number": "718-238-2456",
            "fax_number": "718-238-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMEZ SULAIMAN MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "SULAIMAN",
        "authorized_official_first_name": "RAMEZ",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-238-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.