Organization Active NPI

Allay Medical Care PC

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1184807984
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
216887 Issued in NY
Legal business name
ALLAY MEDICAL CARE PC
Practice address
7 Lexington Ave
Suite 1a
New York, NY 10010-5517
Phone
(212) 420-0104
Fax
(212) 420-0359
NPI assigned
Dec 14, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Raisa MitelmanNPI 1215049812
Title
Solo Practician
Phone
(212) 420-0104

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
Primary Care Clinic/Center 261QP2300X 216887 NY Primary

Addresses

Primary practice location

7 Lexington Ave
Suite 1a
New York, NY 10010-5517

Mailing address

7 Lexington Ave
Suite 1a
New York, NY 10010-5517
Phone (212) 420-0104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080310000326 NY Part B Supplier - Clinic/Group Practice 5698666253 Receives reassigned benefits from 1 practitioner
Practice locations: Montrose, NY; New York, NY; Hunter, NY

National Provider Directory

National Provider Directory

Locations

7 Lexington Ave
Rm 1A
New York, NY 10010
Phone (212) 420-0104

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1184807984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEXINGTON AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105517",
            "telephone_number": "212-420-0104",
            "fax_number": "212-420-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEXINGTON AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105517",
            "telephone_number": "212-420-0104",
            "fax_number": "212-420-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "MITELMAN",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "SOLO PRACTICIAN",
        "authorized_official_telephone_number": "212-420-0104"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "216887",
            "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 Dec 14, 2007; 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.