Sebastian Williams

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2460 Flatbush Ave
Brooklyn, NY 11234-5013

Phone

(718) 807-7781

NPI assigned

Dec 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1073151833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 201ST ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122139",
            "telephone_number": "718-807-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345013",
            "telephone_number": "718-807-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SEBASTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-4219693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Williams
• Sandra Fay Williams
• Sandreka Williams
• Sarah Williams, M.D.
• Savitree Williams
• Seneca Williams, LMHC
• Shaiya Tamarra Williams
• Shaka Williams, LMSW
• Shanado G Williams, MD, MSC.
• Shane Williams

• Peer Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.