Active NPI
Manhattan Wellness Medical Care PLLC
- General Practice Physician
- New York, NY
National Provider Identifier
1184865701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 256704
- Legal business name
- MANHATTAN WELLNESS MEDICAL CARE PLLC
- Practice address
- 15 W 44TH St
10TH Floor
New York, NY 10036-6611 - Phone
- (212) 575-8910
- Fax
- (212) 575-1830
- NPI assigned
- Mar 11, 2009
- 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
- Tomonori Nakagama, M.D.
- Title
- Member
- Phone
- (212) 575-8910
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 239417 | NY | |
| Family Medicine Physician | 207Q00000X | 277398 | NY | |
| Psychiatry Physician | 2084P0800X | 256052 | NY | |
| General Practice Physician | 208D00000X | 256704 | NY | Primary |
Addresses
Primary practice location
15 W 44TH St
10TH Floor
New York, NY 10036-6611
Mailing address
15 W 44TH St
10TH Floor
New York, NY 10036-6611
Phone (212) 575-8910
National Provider Directory
National Provider DirectoryLocations
305 E 55th St
Apt 102
New York, NY 10022
Phone (212) 751-9714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1821022450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1184865701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W 44TH ST",
"address_2": "10TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366611",
"telephone_number": "212-575-8910",
"fax_number": "212-575-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W 44TH ST",
"address_2": "10TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366611",
"telephone_number": "212-575-8910",
"fax_number": "212-575-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANHATTAN WELLNESS MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-11",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "NAKAGAMA",
"authorized_official_first_name": "TOMONORI",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "212-575-8910",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "239417",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "277398",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "256052",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "256704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Manhattan Valley Pediatrics
- Manhattan Vascular, PLLC
- Manhattan Veterans Affairs
- Manhattan Vision Associates
- Manhattan Wellness LCSW PLLC
- Manhattan Wellness Medical Care, PLLC
- Manhattan Wellocity LLC
- Manhattan West Medical, P.C.
- Manhattan West Side Medical Service PLLC
- Manhattan West Side Medical Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.