Organization Active NPI

VB Medical Services PC

  • Gynecology Physician
  • Sunnyside, NY
National Provider Identifier
1285177212
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
VB MEDICAL SERVICES PC
Practice address
4601 Greenpoint Ave
Suite 2D
Sunnyside, NY 11104-1784
Phone
(212) 362-4848
Fax
(646) 219-4608
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. Vincent T. Brandeis, M.D.NPI 1215053962
Title
President & Medical Director
Phone
(646) 245-5358

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VE0102X
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

4601 Greenpoint Ave
Suite 2D
Sunnyside, NY 11104-1784

Mailing address

PO Box 204
Planetarium Station
New York, NY 10024-0204
Phone (646) 245-5358

Other identifiers 1

IdentifierTypeStateIssuer
G400066957OtherNYMEDICARE MEMBER PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404002007 NY Part B Supplier - Clinic/Group Practice 0143616946 Receives reassigned benefits from 1 practitioner
Practice locations: Sunnyside, NY

National Provider Directory

National Provider Directory

Locations

1208 W Broadway
Fl 1
Hewlett, NY 11557

4601 Greenpoint Ave
Ste 2D
Sunnyside, NY 11104
Phone (646) 737-2470

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1285177212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "address_2": "PLANETARIUM STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100240204",
            "telephone_number": "646-245-5358",
            "fax_number": "646-219-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 GREENPOINT AVE",
            "address_2": "SUITE 2D",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041784",
            "telephone_number": "212-362-4848",
            "fax_number": "646-219-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VB MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BRANDEIS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-245-5358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER PTAN",
            "identifier": "G400066957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.