Organization Active NPI

Sota Medical Services PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1174664940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6061762 Issued in NY
Legal business name
SOTA MEDICAL SERVICES PC
Practice address
1416 Beverley Rd
Brooklyn, NY 11226-4514
Phone
(718) 469-0033
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Therese A Malcolm
Title
Sole Proprieter
Phone
(718) 469-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 6061762 NY Primary

Addresses

Primary practice location

1416 Beverley Rd
Brooklyn, NY 11226-4514

Mailing address

1416 Beverley Rd
Brooklyn, NY 11226-4514
Phone (718) 469-0033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174664940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264514",
            "telephone_number": "718-469-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264514",
            "telephone_number": "718-469-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTA MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-469-0033"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "6061762",
            "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 Aug 22, 2020; 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.