Organization Active NPI

Sel Medical Group

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1831426295
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
001137 Issued in NY
Legal business name
SEL MEDICAL GROUP
Practice address
350 Fulton St
Brooklyn, NY 11201-5137
Phone
(718) 875-9200
Fax
(718) 875-9211
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Karl Latortue, MD
Title
MD
Phone
(718) 875-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 001137 NY Primary
Health Service Clinic/Center 261QH0100X 001137 NY

Addresses

Primary practice location

350 Fulton St
Brooklyn, NY 11201-5137

Mailing address

350 Fulton St
Brooklyn, NY 11201-5137
Phone (718) 875-9200

National Provider Directory

National Provider Directory
Tax ID family
Sel Madical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1831426295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015137",
            "telephone_number": "718-875-9200",
            "fax_number": "718-875-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015137",
            "telephone_number": "718-875-9200",
            "fax_number": "718-875-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "LATORTUE",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-875-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "001137",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "001137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2009; 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.