NPIMap

Organization Active NPI

Sayegh & Kump Family Med Practice PC

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1811162373
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAYEGH & KUMP FAMILY MED PRACTICE PC
Practice address
530 W 236TH St
1D
Bronx, NY 10463-1748
Phone
(718) 548-4568
Fax
(718) 548-6959
NPI assigned
Apr 25, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Flora Soto
Title
Office Manager
Phone
(718) 548-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

530 W 236TH St
1D
Bronx, NY 10463-1748

Mailing address

530 W 236TH St
1D
Bronx, NY 10463-1748
Phone (718) 548-4568

Other identifiers 5

IdentifierTypeStateIssuer
0S06705410OtherBLUE CROSS BLUE SHIELD
5900147OtherNYGHI
RC0855V161OtherNYBLUE CROSS BLUE SHIELD
P00282495OtherNYRAILROAD RETIREMENT PLAN
01497007MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1811162373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W 236TH ST",
            "address_2": "1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631748",
            "telephone_number": "718-548-4568",
            "fax_number": "718-548-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W 236TH ST",
            "address_2": "1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631748",
            "telephone_number": "718-548-4568",
            "fax_number": "718-548-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYEGH & KUMP FAMILY MED PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-548-4560"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0S06705410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5900147",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RC0855V161",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT PLAN",
            "identifier": "P00282495",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.