Wyckoff Heights Medical Services PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WYCKOFF HEIGHTS MEDICAL SERVICES PC

Practice address

374 Stockholm St
Brooklyn, NY 11237

Phone

(718) 963-6485

Fax

(718) 963-6793

NPI assigned

Jun 3, 2006

Last updated

Apr 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vali Gache

Title

Cfo

Phone

(718) 240-1795

Specialties & licenses 15

Addresses

Other names 2

• Wyckoff Anesthesia Medical Services PC Former legal business name
• Wyckoff Anesthesia and Medical Services PC Former legal business name

Locations

Practitioners 18

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.

• Sadrul Anam, M.D.

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1043298318
  NPD (past)
• Gordon Anderson, M.D.

  • Specialist
  • Brooklyn, NY
  • NPI 1245214519
  NPD (past)
• Peter Bedeau, CRNA

  • Certified Registered Nurse Anesthetist
  • Brooklyn, NY
  • NPI 1184687873
  NPD (past)
• Gustavo Deltoro

  • Pediatric Hematology & Oncology Physician
  • New York, NY
  • NPI 1205801883
  NPD (past)
• Jyotsna Gaur, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1770561045
  NPD (past)
• Sunil Kharode, MD

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1295754455
  NPD (past)
• Maria Leon, DO

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1790134575
  NPD (past)
• Sony Loiseau, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1225153075
  NPD (past)
• Faustine Noel, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • New York, NY
  • NPI 1023071891
  NPD (past)
• Heather Raphael, P.A.

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1255387239
  NPD (past)
• Ashraf Samaan, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1437104437
  NPD (past)
• Stacey Anne Smith, M.D.

  • Specialist
  • Brooklyn, NY
  • NPI 1396828745
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1700824372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-6485",
            "fax_number": "718-963-6793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Wyckoff Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112373904",
            "country_code": "US",
            "telephone_number": "718-963-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7554 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Middle Village",
            "state": "NY",
            "postal_code": "113792639",
            "country_code": "US",
            "telephone_number": "718-894-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374190",
            "country_code": "US",
            "telephone_number": "718-963-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1419 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374512",
            "country_code": "US",
            "telephone_number": "718-963-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYCKOFF HEIGHTS MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "GACHE",
        "authorized_official_first_name": "VALI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-240-1795",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyckoff Anesthesia Medical Services PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wyckoff Anesthesia Medical Services PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wyckoff Anesthesia and Medical Services PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center
• Wyckoff Heights Medical Center Laboratory Services
• Wyckoff Hieghts Medical Center
• Wyckoff Hospital
• Wyckoff Hospital
• Wyckoff Imaging Services PC
• Wyckoff Medical Associates, PC

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.