Stuyvesant Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

86598 Issued in NY

Legal business name

STUYVESANT MEDICAL GROUP

Practice address

430 E 20TH St
Suite MF
New York, NY 10009-8202

Phone

(212) 673-1135

Fax

(212) 982-5443

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Freilich

Title

Owner

Phone

(212) 673-1135

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1235304627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 20TH ST",
            "address_2": "SUITE MF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098202",
            "telephone_number": "212-673-1135",
            "fax_number": "212-982-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 20TH ST",
            "address_2": "SUITE MF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098202",
            "telephone_number": "212-673-1135",
            "fax_number": "212-982-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUYVESANT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "FREILICH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-673-1135",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "86598",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Sturton, MS, RD
• Gabrielle Stutman, PHD
• Mark Edward Stutzmann Jr., PA
• Robert Nicolais Stuver, MDD
• Stuytown RX LLC
• Ronald Jason Styka, PSY.D.
• Style-Eyes by Jennifer Inc.
• Marianne Styler, M.D.
• Roberta Styles, CASAC-T
• Styleyes Optical Corp

• Internal Medicine Physician in New York, NY
• Providers in New York, 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 Nov 6, 2008; 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.