Organization Active NPI

Sakida Medical, PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1154454064
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220943 Issued in NY
Legal business name
SAKIDA MEDICAL, PC
Practice address
1381B Linden Blvd
Brooklyn, NY 11212-4701
Phone
(718) 498-3103
Fax
(718) 498-3166
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Daniel Dume-Charles
Title
MD
Phone
(718) 498-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 220943 NY Primary

Addresses

Primary practice location

1381B Linden Blvd
Brooklyn, NY 11212-4701

Mailing address

1381B Linden Blvd
Brooklyn, NY 11212-4701
Phone (718) 498-3103

National Provider Directory

National Provider Directory

Locations

1381B Linden Blvd
Brooklyn, NY 11212
Phone (718) 498-3103

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1154454064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381B LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124701",
            "telephone_number": "718-498-3103",
            "fax_number": "718-498-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381B LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124701",
            "telephone_number": "718-498-3103",
            "fax_number": "718-498-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKIDA MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "DUME-CHARLES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-498-3103"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220943",
            "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 Oct 22, 2007; 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.