Organization Active NPI

Brooklyn Medical & Surgical PLLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1922409754
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
5095 Issued in NY
Legal business name
BROOKLYN MEDICAL & SURGICAL PLLC
Practice address
1575 E 19TH St
Brooklyn, NY 11230-7203
Phone
(917) 325-0349
Fax
(201) 389-3498
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Dr. Norman Sveilich, D.O.
Title
Medical Director
Phone
(917) 525-3067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 5095 NY Primary

Addresses

Primary practice location

1575 E 19TH St
Brooklyn, NY 11230-7203

Mailing address

1575 E 19TH St
Brooklyn, NY 11230-7203
Phone (917) 325-0349

Other identifiers 1

IdentifierTypeStateIssuer
5095OtherNYAAAASF

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1922409754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307203",
            "telephone_number": "917-325-0349",
            "fax_number": "201-389-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307203",
            "telephone_number": "917-325-0349",
            "fax_number": "201-389-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN MEDICAL & SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "SVEILICH",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-525-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "5095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF",
            "identifier": "5095",
            "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 Sep 11, 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.