Decotiis Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DECOTIIS MEDICAL LLC

Practice address

104 E 40TH St RM 606
New York, NY 10016-1801

Phone

(212) 685-3640

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sue Decotiis, M.D

Title

Doctor

Phone

(212) 685-3640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578628673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST RM 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "212-685-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST RM 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "212-685-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECOTIIS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECOTIIS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-685-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damien Anthony Decollibus, PA
• Anna Decolongon, PHARM D.
• Jeannie Decoo, RPA-C
• Douglas R Decorato, M.D.
• Louise Decosta, PH.D., L.C.S.W.
• Daniel Michael Decotiis
• Sue Gene Decotiis, MD
• Steven Decrescenzo, D.D.S.
• Eliza Decroce-Movson, MD
• Dean Harrison Decter, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.