Active NPI
Seth R. Podolsky, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
National Provider Identifier
1871518118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 248582
- Practice address
- 4802 10TH Ave
Emergency Dept, Maimonides Medical Center
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6031
- NPI assigned
- Jul 13, 2006
- Last updated
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14173 | NH | |
| Emergency Medicine Physician | 207P00000X | 248582 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 237828 | MA | |
| Emergency Medicine Physician | 207P00000X | 49297 | CO |
Addresses
Primary practice location
4802 10TH Ave
Emergency Dept, Maimonides Medical Center
Brooklyn, NY 11219-2916
Mailing address
4802 10TH Ave
Emergency Dept, Maimonides Medical Center
Brooklyn, NY 11219-2916
Phone (718) 283-6031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02984334 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237828 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Sedation Center of Connecticut, LLC | Current | Accepting new patients | |
| Southwest Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Fairfield, CT
- NPI 1598646770
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
-
- Emergency Medicine Physician
- Durango, CO
- NPI 1568495653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1871518118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "EMERGENCY DEPT, MAIMONIDES MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "EMERGENCY DEPT, MAIMONIDES MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLSKY",
"first_name": "SETH",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "14173",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "248582",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "237828",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "49297",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02984334",
"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 Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.