Upper West Side Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

185152 Issued in NY

Legal business name

UPPER WEST SIDE MEDICAL ASSOCIATES PC

Practice address

464 West 145 Street
New York, NY 10031

Phone

(212) 926-5050

Fax

(212) 926-7778

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia E Myers, MDNPI 1821045766

Title

Owner

Phone

(212) 926-5050

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia E Myers, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1821045766
  Medicare reassignment Care Compare group NPD Authorized official
• Walt G Sargeant, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1720081433
  Medicare reassignment Care Compare group NPD
• Sarah Lee Umba, NP

  • Adult Health Nurse Practitioner
  • Elmhurst, NY
  • NPI 1871379297
  Medicare reassignment NPD
• Henry G. Godfrey, MD

  • Surgery Physician
  • New York, NY
  • NPI 1659358018
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1043493000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 WEST 145 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-926-5050",
            "fax_number": "212-926-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WEST 145 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-926-5050",
            "fax_number": "212-926-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER WEST SIDE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-926-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185152",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235917",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP MEMBER PTAN",
            "identifier": "P00639791",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DN8039",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upper Room AIDS Ministry, Inc. Adult Day Health Care Center.
• Upper West Side Chiropractic PLLC
• Upper West Side Dermatology Inc
• Upper West Side Dermatology, P.C.
• Upper West Side Family Medical Practice (Vincent Esposito MD)
• Upper West Side Medical Doctor PLLC
• Upper West Side Medical P.L.L.C.
• Upper West Side Oral & Maxillofacial Surgery
• Upper West Side Podiatry PC
• Upper Westside Opthalmology Eyecare

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.