NPIMap

Individual provider Active NPI

Radha Syed, MD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1790707263
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
144422 Issued in NY
Practice address
5 Coddington Ave
Staten Island, NY 10306-4305
Phone
(718) 351-1350
Fax
(718) 351-1271
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 144422 NY
Obstetrics & Gynecology Physician 207V00000X 144422 NY Primary

Addresses

Primary practice location

5 Coddington Ave
Staten Island, NY 10306-4305

Mailing address

5 Coddington Ave
Staten Island, NY 10306-4305
Phone (718) 351-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000459 NY Practitioner - Obstetrics/Gynecology 4082668678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians
Mihail Medvedovsky Physician PCGroup PAC ID 3779474937, 12 clinicians

Practice addresses (Care Compare)

180 Myrtle Ave
Brooklyn, NY 11201-7059
Phone (718) 650-2233

3039 Ocean Pkwy
Brooklyn, NY 11235-8378
Phone (718) 946-9070

5 Coddington Ave
Staten Island, NY 10306-4305
Phone (718) 351-1350

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Richmond OBGYN Associates PC Specialist CurrentSince Jul 1, 2004 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince Jun 5, 2018 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

5 Coddington Ave
Staten Island, NY 10306
Phone (718) 351-1350

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rsyed277375@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1790707263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CODDINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064305",
            "telephone_number": "718-351-1350",
            "fax_number": "718-351-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CODDINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064305",
            "telephone_number": "718-351-1350",
            "fax_number": "718-351-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "RADHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "144422",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "144422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.