East Manhattan Medical PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

127 560 Issued in NY

Legal business name

EAST MANHATTAN MEDICAL PC

Practice address

222 East 19TH Street
Suite #4E
New York, NY 10003

Phone

(212) 677-1041

Fax

(212) 725-6070

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome V Tolbert, MD

Title

President

Phone

(212) 677-1041

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144315169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EAST 19TH STREET",
            "address_2": "SUITE #4E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-677-1041",
            "fax_number": "212-725-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EAST 19TH STREET",
            "address_2": "SUITE #4E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-677-1041",
            "fax_number": "212-725-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MANHATTAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-677-1041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "127 560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00580350",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Manhattan Anesthesia Partners, LLC.
• East Manhattan Diagnostic Imaging, P.C. (Dove Open MRI)
• East Manhattan Diagnostic Imaging, P.C. (Union Square Diagnostic Imaging)
• East Manhattan Diagnostic Imaging, P.C.
• East Manhattan Diagnostic Imaging, PC (Grand Radiology)
• East Manhattan Medical Services, PC
• East Manhattan Medical Services,PC
• East Mental Health Counseling PLLC
• East Red Adult Day Care Center
• East River Child Development Center

• Endocrinology, Diabetes & Metabolism Physician in New York, NY
• Providers in New York, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.