SSB Medical PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SSB MEDICAL PC

Practice address

3014 Brighton 6TH St
Brooklyn, NY 11235-6410

Phone

(718) 615-0020

Fax

(718) 615-0170

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Stanlely Bykov, MD

Title

Owner

Phone

(718) 615-0020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Stanley Bykov, MD

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1972539112
  Medicare reassignment NPD
• Milana Agadzhanyan, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1669821534
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255360822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 OCEAN PKWY",
            "address_2": "APT 19P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358250",
            "telephone_number": "718-615-0020",
            "fax_number": "718-615-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 BRIGHTON 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356410",
            "telephone_number": "718-615-0020",
            "fax_number": "718-615-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSB MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYKOV",
        "authorized_official_first_name": "STANLELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-615-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orit Srour, M.S.
• Sarah Srour
• Susan Srour
• SRSB Services Inc.
• Sruthi and Swaroop Pharmacy Inc
• SSMC Services Corporation
• Marie St Aine
• Ian Brian St Clair, PTA
• Marcella St Clair, LCSW
• Raymond St Felix, MD

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.