NPIMap

Organization Active NPI

New York Walk-in Medical Group, PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1083814974
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW YORK WALK-IN MEDICAL GROUP, PC
Practice address
1627 Broadway
New York, NY 10019-7407
Phone
(866) 366-3060
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Paul James Endres, M.D.
Title
President
Phone
(202) 955-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1627 Broadway
New York, NY 10019-7407

Mailing address

11 Penn Plaza
Suite 500
New York, NY 10011
Phone (866) 366-3060

Other names 1

  • d/b/a Dr Walk- In Medical Care Former legal business name

National Provider Directory

National Provider Directory

Locations

11 Penn Plz
Ste 500
New York, NY 10001

1350 Broadway
New York, NY 10018
Phone (212) 695-6346

155 E 34th St
New York, NY 10016
Phone (212) 683-3042

1627 Broadway
Fl 2
New York, NY 10019
Phone (212) 245-2943

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1083814974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PENN PLAZA",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "866-366-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197407",
            "telephone_number": "866-366-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK WALK-IN MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "ENDRES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-955-0000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Dr Walk- In Medical Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 19, 2010; 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.