Organization Active NPI

SP Medical Services PA

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1093443335
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 27, 2023

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.