Organization Active NPI

Solstice Medical Group PLLC

  • General Practice Physician
  • Rockaway Park, NY
National Provider Identifier
1841516101
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
150519 Issued in NY
Legal business name
SOLSTICE MEDICAL GROUP PLLC
Practice address
230 Beach 102ND St
Suite # 4 B
Rockaway Park, NY 11694-2871
Phone
(718) 474-4734
Fax
(718) 474-4738
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Milivojei Milosevic, MD
Title
President
Phone
(718) 474-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 150519 NY Primary

Addresses

Primary practice location

230 Beach 102ND St
Suite # 4 B
Rockaway Park, NY 11694-2871

Mailing address

230 Beach 102ND St
Suite # 4 B
Rockaway Park, NY 11694-2871
Phone (718) 474-4734

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1841516101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEACH 102ND ST",
            "address_2": "SUITE # 4 B",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942871",
            "telephone_number": "718-474-4734",
            "fax_number": "718-474-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEACH 102ND ST",
            "address_2": "SUITE # 4 B",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942871",
            "telephone_number": "718-474-4734",
            "fax_number": "718-474-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTICE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MILOSEVIC",
        "authorized_official_first_name": "MILIVOJEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-474-4734",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "150519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.