S&G Medical Office, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

214737 Issued in NY

Legal business name

S&G MEDICAL OFFICE, PC

Practice address

39 East Broadway
Suite 603
New York, NY 10002

Phone

(212) 233-2078

Fax

(212) 233-2079

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Min Song, M.D.NPI 1467483917

Title

President

Phone

(212) 233-2078

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min Song, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1467483917
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Wenbin Guo, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1780649517
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1699900332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 EAST BROADWAY",
            "address_2": "SUITE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-233-2078",
            "fax_number": "212-233-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 EAST BROADWAY",
            "address_2": "SUITE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-233-2078",
            "fax_number": "212-233-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&G MEDICAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-233-2078",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "214737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01991455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lea Saab, MD

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.