MMC Surgical Critical Care Faculty Practice Plan

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN

Practice address

4802 10TH Ave
Brooklyn, NY 11219-2916

Phone

(718) 283-8773

Fax

(718) 283-8773

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Gail Simhon

Title

VP

Phone

(718) 283-7285

Specialties & licenses 1

Addresses

Practitioners 5

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

• Vladimir Sabayev, MD

  • Pulmonary Disease Physician
  • Flushing, NY
  • NPI 1093740847
  NPD (past)
• Sashi Wettimuny, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1609021005
  NPD (past)
• Uma Kalyani Edupuganti, M.D

  • Pulmonary Disease Physician
  • Springfield, MO
  • NPI 1548455918
  NPD (past)
• Ivan L Maldonado, M.D.

  • Trauma Surgery Physician
  • Marshfield, WI
  • NPI 1518963347

  Surgical Critical Care

  NPD (past)
• Kristin Walter, M.D.

  • Pulmonary Disease Physician
  • Chicago, IL
  • NPI 1649214636
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1154481802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GPO BOX 27374",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877374",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC SURGICAL CRITICAL CARE FACULTY PRACTICE PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "SIMHON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "718-283-7285"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMC Pharmacy Inc
• MMC Plastic Surgery FPP
• MMC Primary Care, FPP
• MMC Reproductive Endocrinology
• MMC Stroke Center FPP
• MMC Surgical Oncology Associates
• MMC University Vascular Surgeons
• MMC Womens Services,FPP
• MMH Drugs Inc
• MMS Medical

• All providers in Brooklyn, NY
• Surgical Critical Care Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.