Active NPI
Parkside Medical Services PC
- Cardiovascular Disease Physician
- Brooklyn, NY
National Provider Identifier
1598041394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PARKSIDE MEDICAL SERVICES PC
- Practice address
- 225 Parkside Ave Apt 1D
Brooklyn, NY 11226-1317 - Phone
- (718) 469-4222
- NPI assigned
- Oct 25, 2011
- 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
- Dr. Adeola Uthman
- Title
- Owner
- Phone
- (718) 469-4222
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X | |||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
225 Parkside Ave Apt 1D
Brooklyn, NY 11226-1317
Mailing address
225 Parkside Ave Apt 1D
Brooklyn, NY 11226-1317
Phone (718) 469-4222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1598041394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 PARKSIDE AVE APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112261317",
"telephone_number": "718-469-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PARKSIDE AVE APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112261317",
"telephone_number": "718-469-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKSIDE MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "UTHMAN",
"authorized_official_first_name": "ADEOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-469-4222",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.