Organization Active NPI

Takeshige Medical PC

  • Hepatology Physician
  • New York, NY
National Provider Identifier
1083013098
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
196739 Issued in NY
Legal business name
TAKESHIGE MEDICAL PC
Practice address
535 W 110TH St Apt 1D
New York, NY 10025-2021
Phone
(212) 864-8888
Fax
(212) 864-8924
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Umeko Takeshige, M.D.
Title
President
Phone
(917) 340-2425

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 196739 NY
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RB0002X 196739 NY
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 196739 NY
Hepatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0008X 196739 NY Primary

Addresses

Primary practice location

535 W 110TH St Apt 1D
New York, NY 10025-2021

Mailing address

PO Box 121
Edgewater, NJ 07020-0121
Phone (917) 340-2425

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1083013098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070200121",
            "telephone_number": "917-340-2425",
            "fax_number": "201-224-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252021",
            "telephone_number": "212-864-8888",
            "fax_number": "212-864-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKESHIGE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "TAKESHIGE",
        "authorized_official_first_name": "UMEKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-340-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196739",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NY",
            "license": "196739",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "196739",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": "NY",
            "license": "196739",
            "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 14, 2014; 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.