NPIMap

Organization Active NPI

Ophelia Medical Group Ny, P.C.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
National Provider Identifier
1013528363
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
OPHELIA MEDICAL GROUP NY, P.C.
Practice address
228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone
(152) 585-2144
Fax
(267) 780-7032
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Arthur Robinson Williams IV, MDNPI 1063739985
Title
President
Phone
(267) 984-1732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WA0400X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

228 Park Ave S Ste 15314
New York, NY 10003-1502

Mailing address

228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone (152) 585-2144

National Provider Directory

National Provider Directory

Locations

24 Reliance Rd
Ste 5
Martinsburg, WV 25403

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1013528363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 15314",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "152-585-2144",
            "fax_number": "267-780-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 15314",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "152-585-2144",
            "fax_number": "267-780-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHELIA MEDICAL GROUP NY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-984-1732",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "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 May 24, 2021; 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.