Organization Active NPI

Denali Health PA

  • General Practice Physician
  • New York, NY
National Provider Identifier
1205600350
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DENALI HEALTH PA
Practice address
125 W 25TH St
New York, NY 10001-7230
Phone
(646) 580-0651
Fax
(646) 224-9582
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Julie Brown, MD
Title
Cfo
Phone
(646) 580-0651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

125 W 25TH St
New York, NY 10001-7230

Mailing address

125 W 25TH St
New York, NY 10001-7230
Phone (646) 580-0651

National Provider Directory

National Provider Directory

Locations

125 W 25th St
New York, NY 10001
Phone (646) 580-0651

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1205600350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017230",
            "telephone_number": "646-580-0651",
            "fax_number": "646-224-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017230",
            "telephone_number": "646-580-0651",
            "fax_number": "646-224-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "646-580-0651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Nov 9, 2023; 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.