Active NPI
Mid-Manhattan Physician Services,P.C.
- Specialist
- New York, NY
National Provider Identifier
1144395963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MID-MANHATTAN PHYSICIAN SERVICES,P.C.
- Practice address
- 800 2ND Ave
New York, NY 10017-4709 - Phone
- (212) 686-6402
- Fax
- (212) 779-7724
- NPI assigned
- Nov 21, 2006
- Last updated
- Feb 18, 2008
- 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
- Mrs. Ann Maberry
- Title
- Financial Director
- Phone
- (212) 686-6402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
800 2ND Ave
New York, NY 10017-4709
Mailing address
800 2ND Ave
New York, NY 10017-4709
Phone (212) 686-6402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01734716 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203292800000",
"number": "1144395963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174709",
"telephone_number": "212-686-6402",
"fax_number": "212-779-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174709",
"telephone_number": "212-686-6402",
"fax_number": "212-779-7724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-MANHATTAN PHYSICIAN SERVICES,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2008-02-18",
"status": "A",
"authorized_official_last_name": "MABERRY",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "FINANCIAL DIRECTOR",
"authorized_official_telephone_number": "212-686-6402",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01734716",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Mid Atlantic Medical P.C.
- Mid City TMS Psychiatric PLLC
- Mid-Atlantic Medical Services,PC
- Mid-Manhattan Medical, P.C. (Park Avenue Trauma Associates)
- Mid-Manhattan Oral Surgery PC
- Mid-Manhattan Surgi-Center, Inc.
- Midcrest Optical Corporation (Creston Optical)
- Middle Path Psychological Services PLLC
- Matthew Nathaniel Middleman, M.D.
- Julia Neu Middlesworth
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.