Endo-Metabolic Practice PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

1578461 Issued in NY

Legal business name

ENDO-METABOLIC PRACTICE PLLC

Practice address

47 Little Clove Rd
Staten Island, NY 10301-4306

Phone

(718) 273-5522

Fax

(718) 273-6522

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Seshadri Das, M.,D,NPI 1477664134

Title

Owner/President

Phone

(718) 273-5522

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seshadri Das, MD,FACP,MRCP,FACE.

  • Endocrinology, Diabetes & Metabolism Physician
  • Staten Island, NY
  • NPI 1477664134

  Endocrinology, Diabetes & Metabolism

  NPD (past) Authorized official

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1457587529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014306",
            "telephone_number": "718-273-5522",
            "fax_number": "718-273-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014306",
            "telephone_number": "718-273-5522",
            "fax_number": "718-273-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDO-METABOLIC PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SESHADRI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-273-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.,D,"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "1578461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00846199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cassie Marie Enea, LMSW
• Energetic Adult Daycare Inc
• Alison Marie Eng
• Olivia Lim-on Eng

• All providers in Staten Island, NY
• Endocrinology, Diabetes & Metabolism Physician in New York

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