Organization Active NPI

Manhattan Wellness Medical Care PLLC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1184865701
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
256704 Issued in NY
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

Updated by the provider on Jul 7, 2015

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 239417 NY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 277398 NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 256052 NY
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.