Wyckoff Emergency Medicine Services, PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

WYCKOFF EMERGENCY MEDICINE SERVICES, PC

Practice address

374 Stockholm Street
Wyckoff Emergency Medicine Services, PC
Brooklyn, NY 11237

Phone

(718) 963-7272

NPI assigned

Mar 24, 2015

Organization subpart

Yes

Parent organization

WYCKOFF EMERGENCY MEDICINE SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Dr. Lisando Irizarry, MD

Title

Chairman of Emergency Dept

Phone

(718) 963-7272

Specialties & licenses 1

Addresses

Part of

Wyckoff Emergency Medic

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1306230701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF EMERGENCY MEDICINE SERVICES, PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF EMERGENCY MEDICINE SERVICES, PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF EMERGENCY MEDICINE SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYCKOFF EMERGENCY MEDICINE SERVICES, PC",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "LISANDO",
        "authorized_official_title_or_position": "CHAIRMAN OF EMERGENCY DEPT",
        "authorized_official_telephone_number": "718-963-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.