Active NPI
SP Medical Services PA
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1093443335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SP MEDICAL SERVICES PA
- Practice address
- 481 Wythe Ave Ste 102
Brooklyn, NY 11249-6184 - Phone
- (866) 702-1494
- NPI assigned
- Aug 14, 2022
- 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
- Steven W Powell, MD, MPH, CPE, FAPA
- Title
- Owner
- Phone
- (603) 828-3759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
481 Wythe Ave Ste 102
Brooklyn, NY 11249-6184
Mailing address
481 Wythe Ave
Brooklyn, NY 11249-6183
Phone (866) 702-1494
National Provider Directory
National Provider DirectoryLocations
481 Wythe Ave
Ste 102
Brooklyn, NY 11249
481 Wythe Ave
Brooklyn, NY 11249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1093443335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 WYTHE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112496183",
"telephone_number": "866-702-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 WYTHE AVE STE 102",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112496184",
"telephone_number": "866-702-1494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SP MEDICAL SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-14",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-828-3759",
"authorized_official_credential": "MD, MPH, CPE, FAPA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.