NPIMap

Organization Active NPI

Hope Medical of New York, PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1841455854
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
002805 Issued in NY
Legal business name
HOPE MEDICAL OF NEW YORK, PC
Practice address
2091 Nostrand Ave
Brooklyn, NY 11210-2549
Phone
(718) 434-1876
Fax
(347) 663-4299
NPI assigned
Jul 20, 2008
Last updated
Oct 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Allan R Santiago, MDNPI 1235106527
Title
President
Phone
(718) 434-1876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 002805 NY Primary

Addresses

Primary practice location

2091 Nostrand Ave
Brooklyn, NY 11210-2549

Mailing address

2091 Nostrand Ave
Brooklyn, NY 11210-2549
Phone (718) 434-1876

Other identifiers 1

IdentifierTypeStateIssuer
03292091MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080929000230 NY Part B Supplier - Clinic/Group Practice 9537236880 Receives reassigned benefits from 11 practitioners
Practice locations: Brooklyn, NY; New York, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

174 Mount Eden Pkwy
Bronx, NY 10457
Phone (718) 299-7010

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1841455854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "718-434-1876",
            "fax_number": "347-663-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "718-434-1876",
            "fax_number": "347-663-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-1876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "002805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03292091",
            "state": "NY"
        }
    ],
    "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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.