Organization Active NPI

Sylvan Street Medical, P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1225689532
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYLVAN STREET MEDICAL, P.C.
Practice address
450 Lexington Ave FL 4
New York, NY 10017-3912
Phone
(888) 885-2336
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Paul Delgiudice, MD
Title
Owner
Phone
(603) 533-1873

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

450 Lexington Ave FL 4
New York, NY 10017-3912

Mailing address

450 Lexington Ave FL 4
New York, NY 10017-9998
Phone (888) 885-2336

National Provider Directory

National Provider Directory

Locations

450 Lexington Ave
Fl 4
New York, NY 10017
Phone (212) 267-2670

205 E 42nd St
Fl 16
New York, NY 10017

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1225689532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LEXINGTON AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179998",
            "telephone_number": "888-885-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LEXINGTON AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173912",
            "telephone_number": "888-885-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN STREET MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "DELGIUDICE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-533-1873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 14, 2021; 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.