Coney Island Health Services, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022534 Issued in NY

Legal business name

CONEY ISLAND HEALTH SERVICES, INC.

Doing business as

Saul's Pharmacy

Practice address

3514 Mermaid Ave
Brooklyn, NY 11224-1508

Phone

(718) 265-9108

Fax

(718) 265-5327

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Lily SiddiquiNPI 1255205993

Title

President

Phone

(718) 265-9108

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAUL'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Lily Siddiqui

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
  • NPI 1255205993
  NPD Authorized official
• Liliya Serebryakova, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1427692938
  NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1093737967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241508",
            "telephone_number": "718-265-9108",
            "fax_number": "718-265-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241508",
            "telephone_number": "718-265-9108",
            "fax_number": "718-265-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEY ISLAND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-265-9108"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAUL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Conenna
• Coney Island CDT
• Coney Island Chemist Inc
• Coney Island Dental P.C.
• Coney Island Family Eyecare
• Coney Island Healthcare Medical P.C.
• Coney Island Hospital
• Coney Island Hospital
• Coney Island Hospital
• Coney Island Medical Diagnostic Services P C

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.