Active NPI
Sylvie D De Souza, MD
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 189977
- Practice address
- 121 Dekalb Ave
Brooklyn Hospital Emergency Department
Brooklyn, NY 11201-5425 - Phone
- (718) 250-6889
- Fax
- (718) 250-6528
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA0587000 | NJ | |
| Emergency Medicine Physician | 207P00000X | 189977 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
Brooklyn Hospital Emergency Department
Brooklyn, NY 11201-5425
Mailing address
1623 3Rd Ave Apt 29a
New York, NY 10128-3643
Phone (212) 831-6901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080729000455 | NY | Practitioner - Emergency Medicine | 1456425131 | Reassigns benefits to 2 organizations |
| I20110209000400 | NJ | Practitioner - Emergency Medicine | 1456425131 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York Downstate Medical Center, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City Medical of Upper East Side PLLC
Practice addresses (Care Compare)
1500 Lexington Ave
New York, NY 10029-7349
Phone (212) 710-1065
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA0587000 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| The Brooklyn Hospital Center | Past | Accepting new patients | |
| Brooklyn Hospital Center - Emergency Department | Emergency Medicine | Past | Accepting new patients |
| The Brooklyn Hospital Center | Past | Accepting new patients |
Locations
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
Interoperability endpoints
- sylvie.de.souza.1@2983.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
Emergency Medicine, NY
-
- Urgent Care Clinic/Center
- Bayside, NY
- NPI 1790412443
-
- Urgent Care Clinic/Center
- Norwalk, CT
- NPI 1851132831
-
- Urgent Care Clinic/Center
- Selden, NY
- NPI 1649768912
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1962435487
Emergency Medicine
-
- Clinic Pharmacy
- Brooklyn, NY
- NPI 1093431850
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1467580696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1477590875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 3RD AVE APT 29A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283643",
"telephone_number": "212-831-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "BROOKLYN HOSPITAL EMERGENCY DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-6889",
"fax_number": "718-250-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SOUZA",
"first_name": "SYLVIE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MA0587000",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "189977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.