American Ecare Telehealth PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AMERICAN ECARE TELEHEALTH PLLC

Practice address

5312 Pomfret PT
Raleigh, NC 27612-3683

Phone

(518) 345-3050

NPI assigned

Jun 27, 2020

Last updated

Jun 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mustapha Benmoussa

Title

Manager

Phone

(765) 409-4813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1053938894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMPUTER DR W STE 107",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051621",
            "telephone_number": "518-345-3050",
            "fax_number": "866-277-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 POMFRET PT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123683",
            "telephone_number": "518-345-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Computer Dr W Ste 107",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051621",
            "country_code": "US",
            "telephone_number": "518-345-3050",
            "fax_number": "866-277-0792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN ECARE TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "BENMOUSSA",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-409-4813"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• American Medical Equipment & Supplies, Inc.

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.