Active NPI
Sante Professional Corporation
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1770314965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SANTE PROFESSIONAL CORPORATION
- Practice address
- 19303 Union Tpke
Flushing, NY 11366-1874 - Phone
- (718) 591-5308
- NPI assigned
- Aug 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophia Staley
- Title
- Nurse Practitioner
- Phone
- (323) 516-3964
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
19303 Union Tpke
Flushing, NY 11366-1874
Mailing address
6716 Parsons Blvd Apt 6C
Fresh Meadows, NY 11365-2958
Phone (323) 516-3964
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine Nurse Practitioner
- Flushing, NY
- NPI 1205507597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723161600000",
"number": "1770314965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6716 PARSONS BLVD APT 6C",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113652958",
"telephone_number": "323-516-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19303 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113661874",
"telephone_number": "718-591-5308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTE PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A",
"authorized_official_last_name": "STALEY",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "323-516-3964"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.