NPIMap

Organization Active NPI

One Medical Group, PC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1144457151
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ONE MEDICAL GROUP, PC
Practice address
489 5TH Ave
3Rd Floor
New York, NY 10017-6109
Phone
(212) 530-2269
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Debra Benavidez
Title
Credentialing Specialist
Phone
(212) 530-2269

Specialties & licenses 1

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

Addresses

Primary practice location

489 5TH Ave
3Rd Floor
New York, NY 10017-6109

Mailing address

PO Box 26170
San Francisco, CA 94126-6170
Phone (212) 530-2269

National Provider Directory

National Provider Directory
Tax ID family
One Medica Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

150 Sutter St
San Francisco, CA 94104

408 W 14th St
Ste 201
New York, NY 10014
Phone (212) 530-0639

408 W 14th St
New York, NY 10014

30 Broad St
New York, NY 10004
Phone (212) 530-0630

38 E 32nd St
Rm 802
New York, NY 10016
Phone (212) 242-3316

408 W 14th St
Fl 2
New York, NY 10014

489 5th Ave
Fl 3
New York, NY 10017
Phone (212) 440-0658

Practitioners & affiliated clinicians

Practitioners 10

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1144457151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26170",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941266170",
            "telephone_number": "212-530-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 5TH AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176109",
            "telephone_number": "212-530-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "212-530-2269"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Jun 17, 2009; 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.