Victory Medical Services PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

236135 Issued in NY

Legal business name

VICTORY MEDICAL SERVICES PLLC

Practice address

2285 Victory Blvd
Staten Island, NY 10314-6625

Phone

(718) 761-9319

Fax

(718) 815-8122

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wasif M Ahmed, MD

Title

Ceo

Phone

(718) 815-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1528337649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142408",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-761-9319",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "WASIF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-815-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "236135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Family Pharmacy, LLC (The Apothecary Shoppe)
• Victory Internal Medicine, P.C.
• Victory Medical Group PLLC
• Victory Medical PLLC
• Victory Medical PLLC
• Victory Medical Supplies Inc
• Victory Medicine PC
• Victory Obstetrics & Gynecology PC
• Victory Physical Therapy, P.C.
• Victory Podiatry Associate PLLC

• Anesthesiology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.