Pier17 Professional Medical MGMT

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PIER17 PROFESSIONAL MEDICAL MGMT

Practice address

3165 Emmons Ave Ste C2-C3
Brooklyn, NY 11235-1785

Phone

(718) 333-1394

Fax

(718) 333-1398

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Inessa Sable

Title

President

Phone

(718) 333-1394

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295253565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 EMMONS AVE STE C2-C3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351785",
            "telephone_number": "718-333-1394",
            "fax_number": "718-333-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 EMMONS AVE STE C2-C3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351785",
            "telephone_number": "718-333-1394",
            "fax_number": "718-333-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIER17 PROFESSIONAL MEDICAL MGMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SABLE",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-333-1394"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Piekarski, NP
• Nechama Deena Piekarski
• Sholom Piekarski
• Bozena Piekarz, DDS
• Esther Pieprz
• Honey Rose Pierce Anderson
• Benedict Enol Pierce, LCSW
• Keisha Pierce, RD
• Kristy Pierce, CCC SLP
• Krystal Rae Pierce, PA

• Exclusive Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.