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ST KILDA MEDICAL SERVICE,PLLC
NPI 1528378668
Specialist in New York, NY

Active since October 07, 2010
1067 5TH AVE, NEW YORK, NY 10128(212) 874-3384(212) 874-0031 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Kilda Medical Service,pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST KILDA MEDICAL SERVICE,PLLC (NPI 1528378668) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since October 2010. The organization lists Blair S Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1528378668
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST KILDA MEDICAL SERVICE,PLLC
Location Address1067 5TH AVENew York, NY 10128-0101
Mailing Address1067 5th AveNew York, NY 10128-0101 · (212) 874-3384 · Fax (212) 874-0031
Phone(212) 874-3384
Fax(212) 874-0031
Organization SubpartNo
Authorized OfficialBlair S LewisOwner · (212) 874-3384
Enumeration DateOctober 7, 2010
Last NPPES UpdateJuly 21, 2011
✔ NPI 1528378668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 156442
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1067 5TH AVE, New York, NY 10128
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Other Identifiers 1

Medicare PINA100041689NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAIR S. LEWIS, M.D.,P.C.
Internal Medicine (Gastroenterology)
1067 5TH AVE
NEW YORK, NY 10128
New York County (212) 369-6600
DR. BLAIR SETH LEWIS M.D.
Internal Medicine (Gastroenterology)
1067 5TH AVE
NEW YORK, NY 10128
New York County (212) 369-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Kilda Medical Service,pllc's NPI number?

The NPI number for St Kilda Medical Service,pllc is 1528378668. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is St Kilda Medical Service,pllc located?

St Kilda Medical Service,pllc is located at 1067 5th Ave, New York, NY 10128. The listed phone number is (212) 874-3384.

What is St Kilda Medical Service,pllc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for St Kilda Medical Service,pllc was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.