Organization Active NPI

Laparoscopic and Metabolic Surgery, P.C.

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1184921173
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
253077 Issued in NY
Legal business name
LAPAROSCOPIC AND METABOLIC SURGERY, P.C.
Practice address
9920 4TH Ave
Suite 210, Narrows Medical Building
Brooklyn, NY 11209-8333
Phone
(718) 836-4258
Fax
(718) 836-4340
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Paul A Thodiyil, MD, FACS
Title
Owner
Phone
(718) 836-4258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 253077 NY Primary

Addresses

Primary practice location

9920 4TH Ave
Suite 210, Narrows Medical Building
Brooklyn, NY 11209-8333

Mailing address

9920 4TH Ave
Suite 210, Narrows Medical Building
Brooklyn, NY 11209-8333
Phone (718) 836-4258

National Provider Directory

National Provider Directory

Locations

9920 4th Ave
Ste 210
Brooklyn, NY 11209
Phone (718) 836-4258

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1184921173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 210, NARROWS MEDICAL BUILDING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-836-4258",
            "fax_number": "718-836-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 210, NARROWS MEDICAL BUILDING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-836-4258",
            "fax_number": "718-836-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPAROSCOPIC AND METABOLIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "THODIYIL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-836-4258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "253077",
            "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 Dec 2, 2014; 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.