Wyckoff Doctors

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WYCKOFF DOCTORS

Practice address

1419 Myrtle Avenue
Wyckoff Doctors
Brooklyn, NY 11237-4512

Phone

(718) 783-0934

NPI assigned

Jun 15, 2016

Organization subpart

Yes

Parent organization

WYCKOFF MEDICAL ASSOCIATES, 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

Part of

Wyckoff Doctors

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wyckoff Medical Associates, PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1376993964
  NPPES parent name

Practitioners 1

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

• Gustavo Deltoro

  • Pediatric Hematology & Oncology Physician
  • New York, NY
  • NPI 1205801883
  NPD

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1811347404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM STREET",
            "address_2": "WYCKOFF DOCTORS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MYRTLE AVENUE",
            "address_2": "WYCKOFF DOCTORS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374512",
            "telephone_number": "718-783-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF DOCTORS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYCKOFF MEDICAL ASSOCIATES, PC",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wyatt
• Latoya Wyche, M.S.ED.
• Wyckoff & Bleecker Drugs Inc
• Wyckoff Anesthesia and Medical Services, PC
• Wyckoff Doctors
• Wyckoff Dr. Guberman Wyckoff Heights Medical Center
• Wyckoff Emergency Medicine Services, P.C.
• Wyckoff Emergency Medicine Services, PC
• Wyckoff Family Medical Services P C
• Wyckoff Heights Dental Services P.C.

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.