Greater Metropolitian Ipa 2 of Bimc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREATER METROPOLITIAN IPA 2 OF BIMC

Practice address

365 W 28TH St
New York, NY 10001-7901

Phone

(212) 645-1087

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Chantel Mulligan

Title

Assistant Manager

Phone

(212) 256-3377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1053596130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "20TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3377",
            "fax_number": "212-256-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 28TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017901",
            "telephone_number": "212-645-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER METROPOLITIAN IPA 2 OF BIMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "212-256-3377"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greatcare Fi LLC
• Greatcare Inc
• Greatcare Inc
• Greater Harlem Nursing Home and Rehabilitation Center, Inc.
• Greater Horizons, House Inc.
• Greater New York Gastroenterology, PC
• Greater New York Health Medical PC
• Greater New York Physical Therapy
• Natalie H Greaves-Peters, REGISTERED DIETITIAN
• Taylor Alexis Greaves, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.