Active NPI
Samuel G Nodelman MD PC
- Medical Specialty Clinic/Center
- Brooklyn, NY
National Provider Identifier
1275877128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 152116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel G Nodelman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Otolaryngology Physician
- Brooklyn, NY
- NPI 1619070083
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.