Manhattan Medical Office, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

115475 Issued in NY

Legal business name

MANHATTAN MEDICAL OFFICE, P.C.

Practice address

4915 Broadway
Suite 1K
New York, NY 10034-3119

Phone

(212) 543-2500

Fax

(212) 543-2503

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Rafael A. Tejeda, M.D

Title

Physician

Phone

(212) 543-2500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1205075587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LOCUST AVE APT B103",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017375",
            "telephone_number": "212-543-2500",
            "fax_number": "212-543-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-543-2500",
            "fax_number": "212-543-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-543-2500",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "115475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03304267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manhattan Medical Health Associates PC
• Manhattan Medical Health Services PC
• Manhattan Medical Healthcare PC
• Manhattan Medical Hip Replacement PC
• Manhattan Medical Imaging, PC
• Manhattan Medical Oncology PLLC
• Manhattan Medical Partners, P.L.L.C.
• Manhattan Medical Physician PLLC (Susan Park, MD)
• Manhattan Medical Professional Services PC
• Manhattan Medical Suite, PC

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.