Gregory Suprin MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

230165 Issued in NY

Legal business name

GREGORY SUPRIN MD PLLC

Practice address

1381B Linden Blvd
Brooklyn, NY 11212-4701

Phone

(718) 498-3103

NPI assigned

Mar 13, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Suprin

Title

MD

Phone

(718) 498-3103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1336272228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381B LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381B LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124701",
            "telephone_number": "718-498-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY SUPRIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SUPRIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-498-3103"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Girshin MD LLC
• Gregory J Haskin DDS PC (Kings Highway Dental)
• Gregory M. Birch DPM
• Gregory R Brevetti, M.D, PC.
• Gregory Suprin MD PLLC
• Aschel Lane Gregory
• Bijumon Kezhaplackal Gregory
• Charissa Gregory, DO
• Edward Sidney Gregory Jr., DMD
• Gyulshan Gregory, PHARMD

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.