NPIMap

Organization Active NPI

758 Medical Services PC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1891103446
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
758 MEDICAL SERVICES PC
Practice address
758 56TH St
Brooklyn, NY 11220-3504
Phone
(718) 436-3023
Fax
(718) 871-2805
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Seongpan Si, M.D.
Title
Presiedent
Phone
(718) 436-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

758 56TH St
Brooklyn, NY 11220-3504

Mailing address

758 56TH St
Brooklyn, NY 11220-3504
Phone (718) 436-3023

National Provider Directory

National Provider Directory
Tax ID family
758 Medical Services PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1891103446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203504",
            "telephone_number": "718-436-3023",
            "fax_number": "718-871-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203504",
            "telephone_number": "718-436-3023",
            "fax_number": "718-871-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "758 MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "SI",
        "authorized_official_first_name": "SEONGPAN",
        "authorized_official_title_or_position": "PRESIEDENT",
        "authorized_official_telephone_number": "718-436-3023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Jul 28, 2014; 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.