Organization Active NPI

SVC Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1568068393
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SVC MEDICAL PLLC
Practice address
4711 Church Ave
Brooklyn, NY 11203-3209
Phone
(182) 847-0707
Fax
(718) 284-7071
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Siby Cherian
Title
Owner
Phone
(718) 284-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4711 Church Ave
Brooklyn, NY 11203-3209

Mailing address

4711 Church Ave
Brooklyn, NY 11203-3209
Phone (182) 847-0707

National Provider Directory

National Provider Directory

Locations

4711 Church Ave
Brooklyn, NY 11203
Phone (347) 915-2131

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1568068393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033209",
            "telephone_number": "182-847-0707",
            "fax_number": "718-284-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033209",
            "telephone_number": "182-847-0707",
            "fax_number": "718-284-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVC MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "SIBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-284-7070"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2020; 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.