Seongpan Physician PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

234283 Issued in NY

Legal business name

SEONGPAN PHYSICIAN PC

Practice address

5517 7TH Ave FL 1
Brooklyn, NY 11220-3519

Phone

(718) 436-3023

Fax

(718) 436-3023

NPI assigned

Jul 16, 2006

Last updated

Aug 22, 2020By 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

Mrs. Seongpan Si, M. D.NPI 1164422838

Title

President

Phone

(718) 436-3023

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Seongpan Physician 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.

• Seong Pan Physician P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1457630204
  NPD tax ID

Locations

Practitioners 4

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.

• Seongpan Si, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1164422838
  Medicare reassignment NPD Authorized official
• Jian Chen, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1861086043
  NPD (past)
• Kay Ning Feng, AGPCNP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1275309601
  NPD (past)
• Tian Wei Lu

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1912315532
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578580650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BAY 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146108",
            "telephone_number": "718-449-4966",
            "fax_number": "718-449-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 7TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203519",
            "telephone_number": "718-436-3023",
            "fax_number": "718-436-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEONGPAN PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SI",
        "authorized_official_first_name": "SEONGPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-436-3023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02607587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoonjae Seok, DMD
• Seong Pan Physician P.C.
• Rachel Seong, PHARMD
• Lucinda Seongbae
• Lucy C Seongbae
• Nina A Sepe, L.AC.
• Sephardic Adult Center LLC
• Sephardic Bikur Holim
• Sephardic Home Care Services Inc.
• Sephardic Home for the Aged, Inc. (The Sephardic Skilled Nursing and Rehabilitation Center)

• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.