NPIMap

Organization Active NPI

Lich Faculty Practice

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1326375510
Registry record updated Nov 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
154270-1 Issued in NY
Legal business name
LICH FACULTY PRACTICE
Practice address
339 Hicks St
7TH Floor
Brooklyn, NY 11201-5509
Phone
(718) 780-1520
Fax
(718) 780-1362
NPI assigned
Nov 9, 2009
Last updated
Nov 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2009

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

Authorized official

Name
Ms. Suzanne Casden
Title
Credentialing Manager
Phone
(516) 569-0696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 154270-1 NY Primary

Addresses

Primary practice location

339 Hicks St
7TH Floor
Brooklyn, NY 11201-5509

Mailing address

339 Hicks St
7TH Floor
Brooklyn, NY 11201-5509
Phone (718) 780-1520

Other names 1

  • UROLOGY AT LICH Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258243200000",
    "number": "1326375510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "7TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1520",
            "fax_number": "718-780-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "7TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1520",
            "fax_number": "718-780-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICH FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-15",
        "status": "A",
        "authorized_official_last_name": "CASDEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "516-569-0696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "154270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY AT LICH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2009; 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.