Seagull Medical Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SEAGULL MEDICAL SERVICES

Practice address

105 Norwalk Ave
Staten Island, NY 10314-5658

Phone

(929) 574-1629

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Ilya Smuglin, MD

Title

Owner

Phone

(929) 327-2566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1770051690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORWALK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145658",
            "telephone_number": "929-574-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGULL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "SMUGLIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-327-2566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Ann Scudera, LMHC, NCC
• Megan A. Scully, RN
• Laura Scutari, RN
• Cristina Scuteri
• Seagate Radiation Oncology PC
• Andrew Daniel Jordan Sealey I, DPM
• Candace Marie Seaman, LMSW
• Seamen'S Society for Children and Families
• Cameron Searle, PSY.D.
• Seaview Cardiology

• Multi-Specialty Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.