Active NPI
Sumner Place Medical PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1588129407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.