Emergency Medicine Services of Staten Island, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMERGENCY MEDICINE SERVICES OF STATEN ISLAND, PC

Practice address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone

(718) 226-9158

NPI assigned

Jul 13, 2006

Last updated

Apr 3, 2009By 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

Dr. Brahim Ardolic, MDNPI 1669457990

Title

Director

Phone

(718) 226-9158

Specialties & licenses 3

Addresses

Other identifiers 2

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.

• Brahim Ardolic, MD

  • Emergency Medicine Physician
  • Staten Island, NY
  • NPI 1669457990
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1457376022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER STREET",
            "address_2": "6TH FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-1013",
            "fax_number": "718-226-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICINE SERVICES OF STATEN ISLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "ARDOLIC",
        "authorized_official_first_name": "BRAHIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-226-9158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02244851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "CJ7965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eman Soultan Medical PC
• Olena Emelina, SP.ED.
• Ani Emenogu
• Emerald Hands Inc
• Emergency Medicine Physicians of Staten Island, PC
• Emerson Medical PLLC
• Abe Ralph Emile
• Julianna Emilio
• Leonard J Emma, MD
• Emmas Place-Staten Island Grief and Loss Center for Children and Famil (Emma's Place)

• Emergency Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.