Maria T Seo, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

304723 Issued in NY

Practice address

445 Park Ave
Brooklyn, NY 11205-2735

Phone

(718) 963-0800

Fax

(718) 534-5221

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment NPD
• Park Avenue Pediatrics, P.C.

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Brooklyn Hospital Radiology P C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1376580720
  NPD (past)
• Daniel S. Berman, M.D., Infectious Diseases P.C.

  • Infectious Disease Physician
  • Monroe, NY
  • NPI 1972018208
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1346432945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAPLE ST",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321912",
            "telephone_number": "551-587-3252",
            "fax_number": "201-221-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PARK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052735",
            "telephone_number": "718-963-0800",
            "fax_number": "718-534-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Maple St",
            "address_purpose": "LOCATION",
            "city": "Englewood Cliffs",
            "state": "NJ",
            "postal_code": "076321912",
            "country_code": "US",
            "telephone_number": "551-587-3252",
            "fax_number": "201-221-8427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEO",
        "first_name": "MARIA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00143700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05294853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valdemir T Sentome, MD
• Allison S Seo, LMSW
• Heewon Seo, PHARMD
• In Suk Seo, M.D.
• Ji Youn Seo, MS CCC-SLP
• Nu Ley Seo
• Emily Amira Seodat, OD
• Yoonjae Seok, DMD
• Seong Pan Physician P.C.
• Rachel Seong, PHARMD

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.