NPIMap

Organization Active NPI

State of New York

Doing business as Suny DMC @ Lich-Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
National Provider Identifier
1639477979
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
STATE OF NEW YORK
Doing business as
Suny DMC @ Lich-Pathology
Practice address
339 Hicks St
Brooklyn, NY 11201-5509
Phone
(718) 780-1000
NPI assigned
Mar 10, 2011
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Marilyn Vientos-Sotiriadis
Title
Coo
Phone
(718) 270-2025

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Immunopathology Physician 207ZI0100X
Neuropathology Physician 207ZN0500X
Anatomic Pathology Physician 207ZP0101X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

339 Hicks St
Brooklyn, NY 11201-5509

Mailing address

339 Hicks St
Brooklyn, NY 11201-5509
Phone (718) 780-1000

Other names 1

  • SUNY DMC @ LICH-PATHOLOGY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nys Off of Mental HLTH6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

97 Amity St
Fl 6
Brooklyn, NY 11201
Phone (718) 780-1065

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1639477979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "VIENTOS-SOTIRIADIS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-270-2025"
    },
    "taxonomies": [
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNY DMC @ LICH-PATHOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 2013; 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.