Organization Active NPI

SF New York Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1679064448
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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)CodeLicenseStatePrimary
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, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180702001983 NY Part B Supplier - Clinic/Group Practice 2668728817 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20200108001663 NJ Part B Supplier - Clinic/Group Practice 2668728817 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln Park, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.