Individual provider Active NPI

Seongpan Si, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1164422838
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
234283 Issued in NY
Practice address
5517 7TH Ave
Brooklyn, NY 11220-3519
Phone
(718) 436-3023
Fax
(718) 436-3023
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 234283 NY Primary

Addresses

Primary practice location

5517 7TH Ave
Brooklyn, NY 11220-3519

Mailing address

247 Bay 23Rd St
Brooklyn, NY 11214-6108
Phone (718) 449-4966

Other identifiers 1

IdentifierTypeStateIssuer
02607587MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050115000022 NY Practitioner - Obstetrics/Gynecology 0143279257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

758 56TH St
FL 1
Brooklyn, NY 11220-3504
Phone (718) 436-3023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Seongpan Physician PC Obstetrics & Gynecology CurrentSince Dec 10, 2004 Accepting new patients
Seong Pan Physician P.C. Current Accepting new patients
NYU Langone Hospitals Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients

Locations

758 56th St
Brooklyn, NY 11220
Phone (718) 436-3023

758 56th St
Fl 1
Brooklyn, NY 11220
Phone (718) 436-3023

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: seongsi@mai.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164422838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BAY 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146108",
            "telephone_number": "718-449-4966",
            "fax_number": "718-436-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203519",
            "telephone_number": "718-436-3023",
            "fax_number": "718-436-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SI",
        "first_name": "SEONGPAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02607587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.