East Side Specialized Services Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

145350 Issued in NY

Legal business name

EAST SIDE SPECIALIZED SERVICES INC

Practice address

772 Park Ave
New York, NY 10021-4153

Phone

(212) 452-3005

Fax

(212) 452-3660

NPI assigned

Feb 21, 2007

Last updated

Aug 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay K Anand, M.D.

Title

President

Phone

(212) 452-3005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1982749230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214153",
            "telephone_number": "212-452-3005",
            "fax_number": "212-452-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214153",
            "telephone_number": "212-452-3005",
            "fax_number": "212-452-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE SPECIALIZED SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-452-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "145350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• East Side Social
• East Side Sports Physical Therapy, P.C.
• East Side Surgery, PC
• East Side Urology Associates
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• East Star Pharmacy Inc. (Taino Pharmacy)

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.