Organization Active NPI

Samuel G Nodelman MD PC

  • Medical Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1275877128
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
152116 Issued in NY
Legal business name
SAMUEL G NODELMAN MD PC
Practice address
147A W End Ave
Brooklyn, NY 11235-4808
Phone
(718) 891-5251
Fax
(718) 891-7383
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Samuel G Nodelman, MDNPI 1619070083
Title
President
Phone
(718) 891-5251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 152116 NY Primary

Addresses

Primary practice location

147A W End Ave
Brooklyn, NY 11235-4808

Mailing address

147A W End Ave
Brooklyn, NY 11235-4808
Phone (718) 891-5251

National Provider Directory

National Provider Directory

Locations

147A W End Ave
Brooklyn, NY 11235
Phone (718) 891-5152

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1275877128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147A W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354808",
            "telephone_number": "718-891-5251",
            "fax_number": "718-891-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147A W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354808",
            "telephone_number": "718-891-5251",
            "fax_number": "718-891-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL G NODELMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "NODELMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-891-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "152116",
            "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 Feb 27, 2013; 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.