Organization Active NPI

Ricardo N Santiago MD PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1508176579
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RICARDO N SANTIAGO MD PC
Practice address
1957 Coney Island Ave.
Brooklyn, NY 11223
Phone
(347) 407-4073
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Ricardo N Santiago, MDNPI 1720162811
Title
Owner
Phone
(646) 643-4267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1957 Coney Island Ave.
Brooklyn, NY 11223

Mailing address

7917 18 Ave
2ND Floor
Brooklyn, NY 11214-1703
Phone (646) 643-4267

Other identifiers 1

IdentifierTypeStateIssuer
01846395MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000085 NY Part B Supplier - Clinic/Group Practice 4082808357 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Woodside, NY; Elmhurst, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

595 Flatbush Ave
Brooklyn, NY 11225
Phone (718) 675-1100

8202 Grand Ave
#1A1C
Elmhurst, NY 11373
Phone (718) 606-9239

8275 Broadway
Elmhurst, NY 11373
Phone (718) 939-8600

13668 Roosevelt Ave
Ste B
Flushing, NY 11354
Phone (718) 321-7789

353 Lexington Ave
Rm 604
New York, NY 10016
Phone (646) 922-8772

6911B Roosevelt Ave
Woodside, NY 11377
Phone (646) 643-4267

4014 72nd St
Ste G
Woodside, NY 11377
Phone (718) 779-6343

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1508176579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 18 AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141703",
            "telephone_number": "646-643-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 CONEY ISLAND AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "347-407-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO N SANTIAGO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-643-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01846395",
            "state": "NY"
        }
    ],
    "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 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.