St Sebastian Medical PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ST SEBASTIAN MEDICAL PC

Practice address

20 W 190TH St # W
Bronx, NY 10468-4356

Phone

(999) 999-9999

NPI assigned

Mar 17, 2016

Last updated

Mar 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexsander V Baldonado

Title

MD

Phone

(347) 397-7563

Specialties & licenses 1

Addresses

Tax ID family

St Sebastian Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Sebastian Medical PC

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1720513427
  NPD tax ID

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1558722546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 190TH ST # W",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 190TH ST # W",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684356",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST SEBASTIAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "BALDONADO",
        "authorized_official_first_name": "ALEXSANDER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-397-7563"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zacklyn St Hill, RN
• Katia St Jean, LPN
• Stephania St Jean
• Maxine St Louis, MS, CCC-SLP
• Ronald St Louis, MD
• St Vincent de Paul Residence
• St, Barnabas Anesthesia Associates
• St, Michael Physical Therapy PC
• St. Ann's Corner of Harm Reduction
• St. Barnabas (Physicians of St. Barnabas Hospital/Internal Medicine)

• Health Maintenance Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.