Organization Active NPI

Women'S Progressive Medicine PLLC

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1003678129
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WOMEN'S PROGRESSIVE MEDICINE PLLC
Practice address
240 Central Park S Apt 1P
New York, NY 10019-1429
Phone
(212) 535-5350
Fax
(212) 535-5080
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Amir Reza Radjabi, MD
Title
Owner
Phone
(212) 535-5350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

240 Central Park S Apt 1P
New York, NY 10019-1429

Mailing address

240 Central Park S Apt 1P
New York, NY 10019-1429
Phone (212) 535-5350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1003678129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191429",
            "telephone_number": "212-535-5350",
            "fax_number": "212-535-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191429",
            "telephone_number": "212-535-5350",
            "fax_number": "212-535-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S PROGRESSIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "RADJABI",
        "authorized_official_first_name": "AMIR REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-535-5350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "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 Oct 30, 2024; 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.