Active NPI
SF New York Medical Services PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1679064448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SF NEW YORK MEDICAL SERVICES PC
- Practice address
- 250 Skillman St Ste 202
Brooklyn, NY 11205-1218 - Phone
- (718) 964-6161
- Fax
- (516) 430-5031
- NPI assigned
- May 28, 2018
- Last updated
- Sep 19, 2023
- 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
- Yitty F
- Title
- Owner
- Phone
- (212) 734-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
250 Skillman St Ste 202
Brooklyn, NY 11205-1218
Mailing address
250 Skillman St Ste 202
Brooklyn, NY 11205-1218
Phone (212) 734-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
378 Prospect St
Barre, VT 05641
Phone (802) 476-4166
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": "1527465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695081600000",
"number": "1679064448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "212-734-6621",
"fax_number": "516-430-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "718-964-6161",
"fax_number": "516-430-5031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SF NEW YORK MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-28",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A",
"authorized_official_last_name": "F",
"authorized_official_first_name": "YITTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"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 Sep 19, 2023; 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.