Organization Active NPI

Medical Group of Manhattan, PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1073552469
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL GROUP OF MANHATTAN, PC
Practice address
108 E 96TH St
New York, NY 10128-6217
Phone
(212) 410-6610
Fax
(212) 348-0749
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vicki Lopachin, MD
Title
Partner
Phone
(212) 410-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

108 E 96TH St
New York, NY 10128-6217

Mailing address

108 E 96TH St
New York, NY 10128-6217
Phone (212) 410-6610

National Provider Directory

National Provider Directory

Locations

108 E 96th St
New York, NY 10128
Phone (212) 410-6610

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073552469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286217",
            "telephone_number": "212-410-6610",
            "fax_number": "212-348-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286217",
            "telephone_number": "212-410-6610",
            "fax_number": "212-348-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF MANHATTAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPACHIN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-410-6610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal 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 Aug 22, 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.