NPIMap

Organization Active NPI

CHS Ny Medical, P.C.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1124469689
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHS NY MEDICAL, P.C.
Practice address
1 Time Warner Ctr
10TH Floor, Room 10-140
New York, NY 10019-6038
Phone
(212) 484-6912
NPI assigned
Jul 12, 2013
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(615) 577-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1 Time Warner Ctr
10TH Floor, Room 10-140
New York, NY 10019-6038

Mailing address

5500 Maryland Way
Suite 400
Brentwood, TN 37027-4948

Other names 1

  • Time Warner Health And Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHS Ny Medical PC16 organizations share this tax ID, including this one
Part of
Google Wellness Center 321

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1 Time Warner Ctr
Fl 10
New York, NY 10019
Phone (212) 484-6912

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": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1124469689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIME WARNER CTR",
            "address_2": "10TH FLOOR, ROOM 10-140",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196038",
            "telephone_number": "212-484-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS NY MEDICAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES INC",
        "enumeration_date": "2013-07-12",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-5890"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time Warner Health And Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2016; 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.