Servicesregional Physician North Carolina, P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERVICESREGIONAL PHYSICIAN NORTH CAROLINA, P.C

Practice address

45 Main St
Suite 408
Brooklyn, NY 11201-1000

Phone

(866) 662-4560

Fax

(877) 279-9425

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Thomas O'Connor

Title

Chief Financial Officer

Phone

(866) 662-4560

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1841326816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103272",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN ST",
            "address_2": "SUITE 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011000",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICESREGIONAL PHYSICIAN NORTH CAROLINA, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "866-662-4560"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Services for the Underserved Inc
• Services for the Underserved, Inc
• Services for the Underserved, Inc
• Services for the Underserved, Inc
• Services for the Underserved, Inc
• Georgene Servio, REGISTERED NURSE
• Valerii Seryi
• Alice Paulina Sesay, RN
• Edward G Sesay, LMSW
• Eleanor Felicia Sesay

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.