Organization Active NPI

MMS Medical

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1669647004
Registry record updated Apr 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MMS MEDICAL
Practice address
3820 Nostrand Ave
Suite 103
Brooklyn, NY 11235-2000
Phone
(718) 934-9720
NPI assigned
Apr 28, 2008
Last updated
Apr 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3820 Nostrand Ave
Suite 103
Brooklyn, NY 11235-2000

Mailing address

PO Box 350583
Brooklyn, NY 11235-0583
Phone (718) 934-9720

Other identifiers 1

IdentifierTypeStateIssuer
01416779MedicaidNY

National Provider Directory

National Provider Directory

Locations

3820 Nostrand Ave
Ste 103
Brooklyn, NY 11235
Phone (718) 934-9720

Practitioners & affiliated clinicians

Practitioners 1

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271548800000",
    "number": "1669647004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350583",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112350583",
            "telephone_number": "718-934-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 NOSTRAND AVE",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352000",
            "telephone_number": "718-934-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2010-04-18",
        "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"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01416779",
            "state": "NY"
        }
    ],
    "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 Apr 18, 2010; 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.