Organization Active NPI

Pacita C. Sy, M.D., LLC

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1326250994
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA63106 Issued in NJ
Legal business name
PACITA C. SY, M.D., LLC
Practice address
196 Jack Martin Blvd
Ocean Medical Park, BLDG a-2
Brick, NJ 08724-7769
Phone
(732) 458-4045
Fax
(732) 458-4979
NPI assigned
May 4, 2007
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Pacita C. Sy, M.D.NPI 1861474256
Title
Owner
Phone
(732) 458-4045

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA63106 NJ Primary

Addresses

Primary practice location

196 Jack Martin Blvd
Ocean Medical Park, BLDG a-2
Brick, NJ 08724-7769

Mailing address

196 Jack Martin Blvd
Ocean Medical Park, BLDG a-2
Brick, NJ 08724-7769
Phone (732) 458-4045

National Provider Directory

National Provider Directory

Locations

196 Jack Martin Blvd
#2
Brick, NJ 08724
Phone (732) 458-2691

196 Jack Martin Blvd
Bldg 2
Brick, NJ 08724
Phone (732) 458-4045

196 Jack Martin Blvd
Bldg A2
Brick, NJ 08724
Phone (732) 458-4045

196 Jack Martin Blvd
Ste A2
Brick, NJ 08724
Phone (732) 458-4045

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1326250994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 JACK MARTIN BLVD",
            "address_2": "OCEAN MEDICAL PARK, BLDG A-2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247769",
            "telephone_number": "732-458-4045",
            "fax_number": "732-458-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 JACK MARTIN BLVD",
            "address_2": "OCEAN MEDICAL PARK, BLDG A-2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247769",
            "telephone_number": "732-458-4045",
            "fax_number": "732-458-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACITA C. SY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "PACITA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-458-4045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA63106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.