Active NPI
Takeshige Medical PC
- Hepatology Physician
- New York, NY
National Provider Identifier
1083013098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- 196739
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196739 | NY | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 196739 | NY | |
| Gastroenterology Physician | 207RG0100X | 196739 | NY | |
| Hepatology Physician | 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 DirectoryNPI 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.