Organization Active NPI

D. K. Sirota, MD, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1205076890
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
086294 Issued in NY
Legal business name
D. K. SIROTA, MD, PC
Practice address
1175 Park Ave
New York, NY 10128-1211
Phone
(212) 427-5600
Fax
(845) 680-6858
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
David King Sirota, MD
Title
Owner
Phone
(212) 427-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 086294 NY Primary

Addresses

Primary practice location

1175 Park Ave
New York, NY 10128-1211

Mailing address

1175 Park Ave
New York, NY 10128-1211
Phone (212) 427-5600

Other identifiers 1

IdentifierTypeStateIssuer
00133440MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1205076890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281211",
            "telephone_number": "212-427-5600",
            "fax_number": "845-680-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281211",
            "telephone_number": "212-427-5600",
            "fax_number": "845-680-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. K. SIROTA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "SIROTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-427-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "086294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00133440",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.