Individual provider Active NPI

Eva Andersson, M.D.

  • Corporate Health Clinic/Center
  • New York, NY
National Provider Identifier
1003021718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
191223 Issued in NY
Practice address
30 Rockefeller PLZ
Room 750S
New York, NY 10112-0002
Phone
(212) 287-4977
Fax
(212) 287-4936
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 191223 NY Primary

Addresses

Primary practice location

30 Rockefeller PLZ
Room 750S
New York, NY 10112-0002

Mailing address

1010 5TH Ave
New York, NY 10028-0130
Phone (212) 287-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191223NYMDCorporate Health Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003021718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280130",
            "telephone_number": "212-287-4977",
            "fax_number": "212-287-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROCKEFELLER PLZ",
            "address_2": "ROOM 750S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101120002",
            "telephone_number": "212-287-4977",
            "fax_number": "212-287-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSSON",
        "first_name": "EVA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NY",
            "license": "191223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.