Active NPI
Sugarhill Medical P.C.
- Multi-Specialty Clinic/Center
- New York, NY
National Provider Identifier
1316208127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 123637
- Legal business name
- SUGARHILL MEDICAL P.C.
- Practice address
- 4290 Broadway Ste 2S
New York, NY 10033-3732 - Phone
- (212) 781-5075
- Fax
- (212) 781-4823
- NPI assigned
- Jun 7, 2012
- Last updated
- Jun 7, 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
- Ernesto M Lopez, M.D.
- Title
- Medical Director
- Phone
- (212) 781-5075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 123637 | NY | Primary |
Addresses
Primary practice location
4290 Broadway Ste 2S
New York, NY 10033-3732
Mailing address
343 W 145TH St
New York, NY 10031-5301
Phone (212) 444-8877
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- New York, NY
- NPI 1346281813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1316208127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315301",
"telephone_number": "212-444-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4290 BROADWAY STE 2S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333732",
"telephone_number": "212-781-5075",
"fax_number": "212-781-4823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGARHILL MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ERNESTO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "212-781-5075",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "123637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.