NPIMap

Organization Active NPI

West Side Physicians of Nyc, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
National Provider Identifier
1205375557
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WEST SIDE PHYSICIANS OF NYC, PLLC
Practice address
715 9TH Ave
New York, NY 10019-7359
Phone
(212) 757-3859
Fax
(212) 757-2815
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Dr. Vino Palli, MDNPI 1013080167
Title
Owner
Phone
(212) 757-2015

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

715 9TH Ave
New York, NY 10019-7359

Mailing address

715 9TH Ave
New York, NY 10019-7359
Phone (212) 757-3859

Other names 1

  • MiDoc Urgent Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170605000648 NY Part B Supplier - Clinic/Group Practice 4587931027 Receives reassigned benefits from 11 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1226 3rd Ave
New York, NY 10021
Phone (212) 757-2015

Practitioners & affiliated clinicians

Practitioners 11

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": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1205375557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197359",
            "telephone_number": "212-757-3859",
            "fax_number": "212-757-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197359",
            "telephone_number": "212-757-3859",
            "fax_number": "212-757-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE PHYSICIANS OF NYC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "PALLI",
        "authorized_official_first_name": "VINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-757-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiDoc Urgent Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MiDoc Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 20, 2022; 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.