Active NPI
MMS Medical
- Specialist
- Brooklyn, NY
National Provider Identifier
1669647004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2010
- 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
- Philipp Pifko
- Title
- Billing Manager
- Phone
- (718) 934-9720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01416779 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1417995879
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
- MMC Surgical Critical Care Faculty Practice Plan
- MMC Surgical Oncology Associates
- MMC University Vascular Surgeons
- MMC Womens Services,FPP
- MMH Drugs Inc (Neugard Pharmacy & Surgical Supply)
- MN Psychological Services PLLC
- MN Psychological Services PLLC
- Mned Inc (Ave M Pharmacy)
- Malek Mneimne, PHD
- Mo KS ABA LLC
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.