Organization Active NPI

Nassau Medical Services P.C.

Doing business as Quality Sleep Diagnostics

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1801992540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223297 Issued in NY
Legal business name
NASSAU MEDICAL SERVICES P.C.
Doing business as
Quality Sleep Diagnostics
Practice address
2511 Avenue I Ste 3
Brooklyn, NY 11210-2800
Phone
(718) 701-3252
Fax
(718) 758-1555
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vadim Davydov, D.O.
Title
President / Medical Director
Phone
(718) 701-3252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 223297 NY Primary

Addresses

Primary practice location

2511 Avenue I Ste 3
Brooklyn, NY 11210-2800

Mailing address

2511 Avenue I Ste 3
Brooklyn, NY 11210-2800
Phone (718) 701-3252

Other identifiers 1

IdentifierTypeStateIssuer
02489834MedicaidNY

Other names 1

  • Quality Sleep Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

2511 Avenue I
Ste 3
Brooklyn, NY 11210
Phone (718) 701-3252

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801992540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 AVENUE I STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102800",
            "telephone_number": "718-701-3252",
            "fax_number": "718-758-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 AVENUE I STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102800",
            "telephone_number": "718-701-3252",
            "fax_number": "718-758-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVYDOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-701-3252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02489834",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.