NPIMap

Organization Active NPI

Flatlands Medical Associates, PLLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1124322201
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FLATLANDS MEDICAL ASSOCIATES, PLLC
Practice address
3839 Flatlands Ave
Suite 100
Brooklyn, NY 11234-3533
Phone
(718) 338-5024
Fax
(718) 338-5029
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Dr. Moro Salifu, MDNPI 1275528598
Title
Managing Director
Phone
(718) 338-5024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3839 Flatlands Ave
Suite 100
Brooklyn, NY 11234-3533

Mailing address

3839 Flatlands Ave
Suite 100
Brooklyn, NY 11234-3533
Phone (718) 338-5024

Other practice location 1

6519 Borden Ave
Maspeth, NY 11378-1630
Phone (718) 338-5024

Other identifiers 1

IdentifierTypeStateIssuer
03340512MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110509000342 NY Part B Supplier - Clinic/Group Practice 1052597051 Receives reassigned benefits from 8 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3839 Flatlands Ave
Ste 100
Brooklyn, NY 11234
Phone (718) 338-5024

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1124322201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 FLATLANDS AVE",
            "address_2": "SUITE 100",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343533",
            "telephone_number": "718-338-5024",
            "fax_number": "718-338-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 FLATLANDS AVE",
            "address_2": "SUITE 100",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343533",
            "telephone_number": "718-338-5024",
            "fax_number": "718-338-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6519 Borden Ave",
            "address_purpose": "LOCATION",
            "city": "Maspeth",
            "state": "NY",
            "postal_code": "113781630",
            "country_code": "US",
            "telephone_number": "718-338-5024",
            "fax_number": "718-338-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLATLANDS MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "SALIFU",
        "authorized_official_first_name": "MORO",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "718-338-5024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03340512",
            "state": "NY"
        }
    ],
    "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 Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.