Palmetto Medical Group, LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

179466 Issued in NY

Legal business name

PALMETTO MEDICAL GROUP, LLP

Practice address

337 Saint Nicholas Ave
Ridgewood, NY 11385-2738

Phone

(718) 499-6099

Fax

(718) 499-6391

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Jorge Serje, MDNPI 1285681643

Title

Owner

Phone

(718) 499-6099

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jorge Serje, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1285681643
  NPD (past) Authorized official
• Hugo F Pacheco, D.C.

  • Chiropractor
  • Ridgewood, NY
  • NPI 1255549523
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1790079960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852738",
            "telephone_number": "718-499-6099",
            "fax_number": "718-499-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852738",
            "telephone_number": "718-499-6099",
            "fax_number": "718-499-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "SERJE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-499-6099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Osofsky, MA/CCC/SLP
• Eda Gokce Ozulkulu
• Hugo F Pacheco, D.C.
• Anna Padilla, D.P.T.
• Oscar D Pagalilauan, MD
• Emidio R Pantig, M.D.
• Jessica Kate Papitto, LCSW
• Sandra Paredes Reyes
• Christian F Parraga, LAC
• Shivam K Patel, DMD

• Internal Medicine Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.