Church Medical Offices

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHURCH MEDICAL OFFICES

Practice address

1812 Church Ave
Brooklyn, NY 11226-3706

Phone

(718) 693-9095

Fax

(718) 693-9095

NPI assigned

Sep 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon Sy, MD, MD

Title

Medical Director

Phone

(570) 592-4204

Specialties & licenses 1

Addresses

Other names 1

• CHURCH AVENUE OFFICES Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sheldon Ong Sy, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1306010772
  NPD

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1073129557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263706",
            "telephone_number": "718-693-9095",
            "fax_number": "718-693-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263706",
            "telephone_number": "718-693-9095",
            "fax_number": "718-693-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH MEDICAL OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "SY, MD",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-592-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHURCH AVENUE OFFICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Church Ave Pharmacy Inc
• Church Ave Pharmacy Inc
• Church Ave Pharmacy Inc LTC
• Church Avenue Dental P.C.
• Church Avenue Family Dental P.C
• Church-McDonald Medical Diagnosis PLLC
• Church-McDonald Medical Diagnostic PLLC
• Eva Churchill, LCSW
• Camille Nicole Chushnie
• Chynar Chushtukova, RN

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.