Organization Active NPI

Sugarhill Medical P.C.

  • Health Service Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1891057089
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
123637 Issued in NY
Legal business name
SUGARHILL MEDICAL P.C.
Practice address
1576 Flatbush Ave
Brooklyn, NY 11210-3046
Phone
(347) 533-8530
Fax
(347) 533-8533
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Ernesto M Lopez, M.D.
Title
Medical Director
Phone
(212) 781-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 123637 NY Primary

Addresses

Primary practice location

1576 Flatbush Ave
Brooklyn, NY 11210-3046

Mailing address

343 W 145TH St
New York, NY 10031-5301
Phone (212) 444-8877

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1891057089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315301",
            "telephone_number": "212-444-8877",
            "fax_number": "646-684-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103046",
            "telephone_number": "347-533-8530",
            "fax_number": "347-533-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARHILL MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-781-5075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "123637",
            "primary": true
        }
    ],
    "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 Jun 13, 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.

Verify at the official NPI Registry.