Organization Active NPI

Seraphim Medical Management, LLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1528273661
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
026634-1 Issued in NY
Legal business name
SERAPHIM MEDICAL MANAGEMENT, LLC
Practice address
376 91St St
Brooklyn, NY 11209-5808
Phone
(718) 238-2242
Fax
(718) 238-7288
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Mr. James Vincent Cooper, MSPT
Title
Partner
Phone
(718) 238-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 026634-1 NY Primary

Addresses

Primary practice location

376 91St St
Brooklyn, NY 11209-5808

Mailing address

376 91St St
Brooklyn, NY 11209-5808
Phone (718) 238-2242

Other names 1

  • A Healing Touch Other name

National Provider Directory

National Provider Directory

Locations

376 91st St
Brooklyn, NY 11209
Phone (718) 238-2242

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1528273661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 91ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095808",
            "telephone_number": "718-238-2242",
            "fax_number": "718-238-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 91ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095808",
            "telephone_number": "718-238-2242",
            "fax_number": "718-238-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIM MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-238-2242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "026634-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Healing Touch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 20, 2007; 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.