Organization Active NPI

Southern Boulevard Medical Care PC

  • Pediatrics Physician
  • Yonkers, NY
National Provider Identifier
1710487285
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
248691 Issued in NY
Legal business name
SOUTHERN BOULEVARD MEDICAL CARE PC
Practice address
45 Ludlow St FL 5
Yonkers, NY 10705-1947
Phone
(914) 613-4966
Fax
(914) 613-4967
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Dr. Zuheir Jamil Said, MDNPI 1912166323
Title
Owner
Phone
(914) 613-4966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 248691 NY Primary

Addresses

Primary practice location

45 Ludlow St FL 5
Yonkers, NY 10705-1947

Mailing address

45 Ludlow St FL 5
Yonkers, NY 10705-1947
Phone (914) 613-4966

Other identifiers 2

IdentifierTypeStateIssuer
A100039OtherNYMEDICARE
03230233MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1710487285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST FL 5",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-613-4966",
            "fax_number": "914-613-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST FL 5",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-613-4966",
            "fax_number": "914-613-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BOULEVARD MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "ZUHEIR",
        "authorized_official_middle_name": "JAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-613-4966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "248691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A100039",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03230233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.