Organization Active NPI

Healthy Medical Services

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1104642206
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTHY MEDICAL SERVICES
Practice address
1214 5TH Ave Apt 38E
New York, NY 10029-5257
Phone
(917) 553-2700
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Luiza F Petre, MDNPI 1053465971
Title
Owner
Phone
(917) 553-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1214 5TH Ave Apt 38E
New York, NY 10029-5257

Mailing address

1188 Willis Ave Ste 809
Albertson, NY 11507-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123000332 NY Part B Supplier - Clinic/Group Practice 0143759902 Receives reassigned benefits from 1 practitioner
Practice locations: Mohegan Lake, NY; Port Jervis, NY; New City, NY; New York, NY; Poughkeepsie, NY; Spring Valley, NY; Suffern, NY; Troy, NY…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1104642206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 WILLIS AVE STE 809",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 5TH AVE APT 38E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295257",
            "telephone_number": "917-553-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "PETRE",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-553-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.