Organization Active NPI

Wholelife Physician Access Associates PC

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1053648667
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WHOLELIFE PHYSICIAN ACCESS ASSOCIATES PC
Practice address
4100 Bedford Ave
Brooklyn, NY 11229-2452
Phone
(718) 437-0110
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Thomas Fuchs
Title
MD
Phone
(718) 437-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

4100 Bedford Ave
Brooklyn, NY 11229-2452

Mailing address

4100 Bedford Ave
Brooklyn, NY 11229-2452
Phone (718) 437-0110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1053648667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292452",
            "telephone_number": "718-437-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292452",
            "telephone_number": "718-437-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLELIFE PHYSICIAN ACCESS ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-437-0110"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.