Active NPI
New York Family Practice PLLC
- Family Medicine Physician
- New York, NY
National Provider Identifier
1093721383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210846
- Legal business name
- NEW YORK FAMILY PRACTICE PLLC
- Practice address
- 4960 Broadway
Ste 1C
New York, NY 10034 - Phone
- (212) 304-0682
- Fax
- (212) 569-1967
- NPI assigned
- Jul 31, 2006
- Last updated
- Nov 4, 2010
- 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
- Michael Platzman, DO
- Title
- Owner
- Phone
- (212) 304-0682
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 210846 | NY | Primary |
Addresses
Primary practice location
4960 Broadway
Ste 1C
New York, NY 10034
Mailing address
PO Box 452
Irvington, NY 10533
Phone (212) 304-0682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01861852 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
4960 Broadway
Apt 1C
New York, NY 10034
Phone (212) 304-0682
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- New York, NY
- NPI 1093742942
-
- Specialist
- New York, NY
- NPI 1285785147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1093721383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "10533",
"telephone_number": "212-304-0682",
"fax_number": "212-569-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 BROADWAY",
"address_2": "STE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10034",
"telephone_number": "212-304-0682",
"fax_number": "212-569-1967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK FAMILY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "PLATZMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-304-0682",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "210846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01861852",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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- New York Eye & Ear Infirmary
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- New York Eyewear, Inc.
- New York Family Dental Arts PC
- New York Fertility Institute
- New York Fertility Medical Practice, PLLC
- New York Foot and Ankle Podiatry, PLLC
- New York Foundation for Senior Citizens Home Attendant Service Inc.
- New York Foundation for Senior Citizens Home Attendant Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.