NPIMap

Organization Active NPI

Sla Associates LLC

Doing business as IDCC Health Services

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1528447679
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SLA ASSOCIATES LLC
Doing business as
IDCC Health Services
Practice address
445 Kings Hwy
Brooklyn, NY 11223-1780
Phone
(718) 621-1811
Fax
(718) 837-1274
NPI assigned
May 21, 2015
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Ana G Tejada
Title
Executive Assistant
Phone
(929) 273-7601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

445 Kings Hwy
Brooklyn, NY 11223-1780

Mailing address

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone (718) 375-1200

Other names 1

  • IDCC Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608000918 NY Part B Supplier - Clinic/Group Practice 4981994621 Receives reassigned benefits from 35 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_idcc

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1528447679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291209",
            "telephone_number": "718-375-1200",
            "fax_number": "718-382-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231780",
            "telephone_number": "718-621-1811",
            "fax_number": "718-837-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "TEJADA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "929-273-7601"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDCC Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IDCC Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 3, 2021; 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.