Organization Active NPI

Westside Medical

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1639388960
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
WESTSIDE MEDICAL
Practice address
137 W 96TH St
New York, NY 10025-6403
Phone
(212) 749-7400
Fax
(718) 616-0544
NPI assigned
May 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Philipp Pifko
Title
Billing Manager
Phone
(718) 934-9720

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

137 W 96TH St
New York, NY 10025-6403

Mailing address

2610 E 18TH St
Suite 1
Brooklyn, NY 11235-3622
Phone (718) 934-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000003 NY Part B Supplier - Clinic/Group Practice 2466341979 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639388960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E 18TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353622",
            "telephone_number": "718-934-9720",
            "fax_number": "718-616-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256403",
            "telephone_number": "212-749-7400",
            "fax_number": "718-616-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PIFKO",
        "authorized_official_first_name": "PHILIPP",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-934-9720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.