NPIMap

Organization Active NPI

Sel Medical PC

Doing business as Sel Medical Group

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1942339221
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
199824 Issued in NY
Legal business name
SEL MEDICAL PC
Doing business as
Sel Medical Group
Practice address
1 Smith St
Brooklyn, NY 11201-5111
Phone
(718) 875-1142
NPI assigned
Mar 5, 2007
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Karl E. Latortue, M.D.
Title
Owner
Phone
(718) 875-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 199824 NY Primary

Addresses

Primary practice location

1 Smith St
Brooklyn, NY 11201-5111

Mailing address

1 Smith St
Brooklyn, NY 11201-5111
Phone (718) 875-1142

Other identifiers 1

IdentifierTypeStateIssuer
02847818MedicaidNY

Other names 1

  • Sel Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1 Smith St
Brooklyn, NY 11201
Phone (718) 875-1142

1 Smith St
Fl 3
Brooklyn, NY 11201
Phone (718) 875-1142

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1942339221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015111",
            "telephone_number": "718-875-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015111",
            "telephone_number": "718-875-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "LATORTUE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-875-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "199824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02847818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sel Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2011; 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.