Organization Active NPI

Sutton Holistic LLC

  • Rehabilitation Practitioner
  • New York, NY
National Provider Identifier
1386677508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
SUTTON HOLISTIC LLC
Practice address
329 E 52ND St Apt a
New York, NY 10022-6330
Phone
(212) 319-4798
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sergey Iliyev
Title
M.D.
Phone
(718) 724-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X NY Primary

Addresses

Primary practice location

329 E 52ND St Apt a
New York, NY 10022-6330

Mailing address

749 Ocean Pkwy
Brooklyn, NY 11230-7813
Phone (718) 724-0900

National Provider Directory

National Provider Directory

Locations

329 E 52nd St
Apt A
New York, NY 10022
Phone (212) 319-4798

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386677508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307813",
            "telephone_number": "718-724-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 52ND ST APT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226330",
            "telephone_number": "212-319-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTON HOLISTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ILIYEV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-724-0900"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": null,
            "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 Aug 22, 2020; 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.