58TH STREET MEDICAL, PLLC
NPI 1548552276
Internal Medicine in Brooklyn, NY

Active since May 13, 2011
1153 58TH ST, BROOKLYN, NY 11219(718) 431-9870 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About 58th Street Medical, Pllc NPPES

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

58TH STREET MEDICAL, PLLC (NPI 1548552276) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since May 2011. The organization lists Steven Siegel, Owner, as its authorized official.

NPPES Registry Identity

NPI1548552276
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name58TH STREET MEDICAL, PLLC
Location Address1153 58TH STBrooklyn, NY 11219-4526
Mailing Address1153 58th StBrooklyn, NY 11219-4526
Organization SubpartNo
Authorized OfficialSteven SiegelOwner · (718) 431-9870
Enumeration DateMay 13, 2011
Last NPPES UpdateNovember 9, 2011
✔ NPI 1548552276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 162832
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
1153 58TH ST, Brooklyn, NY 11219

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

58th Street Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 58th Street Medical, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1710998893
1978 E 17TH ST
Brooklyn, NY 11229
(718) 645-5616
✔ PECOS3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 58th Street Medical, PLLC's NPI number?

The NPI number for 58th Street Medical, PLLC is 1548552276. It was assigned to this organization in the NPPES registry on May 13, 2011.

Where is 58th Street Medical, PLLC located?

58th Street Medical, PLLC is located at 1153 58th St, Brooklyn, NY 11219. The listed phone number is (718) 431-9870.

What is 58th Street Medical, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is 58th Street Medical, PLLC enrolled in Medicare?

Yes. 58th Street Medical, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 58th Street Medical, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to 58th Street Medical, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 58th Street Medical, PLLC was last updated on November 9, 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.