Organization Active NPI

Sumner Place Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1588129407
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUMNER PLACE MEDICAL PC
Practice address
16 Sumner PL
Brooklyn, NY 11206-4110
Phone
(718) 336-9500
Fax
(718) 336-9505
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Moshe Greenfield
Title
Administrator
Phone
(718) 951-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16 Sumner PL
Brooklyn, NY 11206-4110

Mailing address

PO Box 297039
Brooklyn, NY 11229-7039
Phone (718) 951-8800

Other practice location 1

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone (718) 951-8800 ext. 2102

Other practice location 2

25 Carrier St
Liberty, NY 12754-1903
Phone (845) 281-7200

National Provider Directory

National Provider Directory

Locations

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1588129407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297039",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112297039",
            "telephone_number": "718-951-8800",
            "fax_number": "718-951-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SUMNER PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064110",
            "telephone_number": "718-336-9500",
            "fax_number": "718-336-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112104730",
            "country_code": "US",
            "telephone_number": "718-951-8800 x2102",
            "fax_number": "718-951-0846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Carrier St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127541903",
            "country_code": "US",
            "telephone_number": "845-281-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMNER PLACE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-951-8800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family 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 Feb 5, 2019; 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.