S&J Pegasus Inc

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

S&J PEGASUS INC

Practice address

8754 Bay 16TH Street
Cellular Floor
Brooklyn, NY 11214

Phone

(347) 702-8200

Fax

(347) 702-8210

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Ted NG

Title

Office Manager

Phone

(347) 702-8200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1518489293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8754 BAY 16TH STREET",
            "address_2": "CELLULAR FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8754 BAY 16TH STREET",
            "address_2": "CELLULAR FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "347-702-8200",
            "fax_number": "347-702-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&J PEGASUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-702-8200"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Brooklyn, NY
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• PACE Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.