Active NPI
Sovereign Anesthesia
- Anesthesiology Physician
- Brooklyn, NY
National Provider Identifier
1669757654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SOVEREIGN ANESTHESIA
- Practice address
- 360 Court St
Brooklyn, NY 11231-4353 - Phone
- (718) 422-5023
- NPI assigned
- Oct 21, 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
- Charles Starke, MD
- Title
- Owner
- Phone
- (908) 653-9399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
360 Court St
Brooklyn, NY 11231-4353
Mailing address
330 Wythe Ave
Apt 5J
Brooklyn, NY 11249-4152
Phone (917) 692-7660
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1669757654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 WYTHE AVE",
"address_2": "APT 5J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112494152",
"telephone_number": "917-692-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 COURT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112314353",
"telephone_number": "718-422-5023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOVEREIGN ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "STARKE",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-653-9399",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"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 21, 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.