Sheepshead Bay Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHEEPSHEAD BAY MEDICAL ASSOCIATES, PC

Practice address

2912 Avenue X
Brooklyn, NY 11235-1906

Phone

(718) 615-0162

Fax

(718) 934-1324

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Carol Manning

Title

Manager

Phone

(718) 615-0162

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheepshead Bay Medical Associates, PC Doing business as

Locations

Practitioners 1

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

• Fekade Tefera, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1336177328
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1184750564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 NOSTRAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295308",
            "telephone_number": "718-615-0162",
            "fax_number": "718-934-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351906",
            "telephone_number": "718-615-0162",
            "fax_number": "718-934-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPSHEAD BAY MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-615-0162"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184750564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheepshead Bay Medical Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheepshead Bay Medical Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maura Sheehy
• Sheepshead Adult Day Health Care Center
• Sheepshead Bay Dental Care PC
• Sheepshead Bay Endoscopy and Associates, PLLC
• Sheepshead Bay Endoscopy LLC
• Sheepshead Bay Oral Surgery
• Sheepshead Bay Oral Surgery, PLLC
• Sheepshead Bay Pharmacy, Inc.
• Sheepshead Bay Surgery Center, Inc.
• Sheepshead Bay Vision Center LLC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.