Wyckoff Anesthesia and Medical Services, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WYCKOFF ANESTHESIA AND MEDICAL SERVICES, PC

Practice address

75-54 Metropolitan Avenue
Family Health Center of Middle Village
Middle Village, NY 11378

Phone

(718) 894-4200

NPI assigned

May 8, 2014

Organization subpart

Yes

Parent organization

WYCKOFF ANESTHESIA AND MEDICAL SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Frank Vutrano

Title

Chief Financial Officer

Phone

(718) 963-6702

Specialties & licenses 1

Addresses

Tax ID family

Wyckoff Heights Medical Services PC2 organizations share this tax ID, including this one

Part of

Wyckoff Heights Medical Services PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wyckoff Anesthesia and Medical Services, PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1740691021
  NPD tax ID

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1790196079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-963-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-54 METROPOLITAN AVENUE",
            "address_2": "FAMILY HEALTH CENTER OF MIDDLE VILLAGE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "718-894-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF ANESTHESIA AND MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYCKOFF ANESTHESIA AND MEDICAL SERVICES, PC",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "VUTRANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-963-6702"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ka Sin Wong, EMT
• Suk-Yee Wong, R.PH.
• Choon Lee Wooleonard
• Hong Wu
• William Wu, PHARMD CANDIDATE
• Carmen Xu
• Margarita Yakubov-Nisanova, OTR/L
• Yerin Yang
• Alla Yashayeva
• Stephanie Raine Yee Loong, LAC

• Clinic/Center in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.