180 Degrees Medical PLLC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

180 DEGREES MEDICAL PLLC

Practice address

620 Malcolm X Blvd Apt 11D
New York, NY 10037-1206

Phone

(251) 599-2388

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tremaine Jamar Wright, DONPI 1093247926

Title

Owner

Phone

(251) 599-2388

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tremaine Jamar Wright, D.O.

  • Hospitalist Physician
  • New York, NY
  • NPI 1093247926
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Wells Wright, FNP

  • Family Nurse Practitioner
  • Jamaica, NY
  • NPI 1356079636
  Care Compare group NPD

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1225736705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MALCOLM X BLVD APT 11D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MALCOLM X BLVD APT 11D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371206",
            "telephone_number": "251-599-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 DEGREES MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TREMAINE",
        "authorized_official_middle_name": "JAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-599-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obesity Medicine (Preventive Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Obesity Medicine (Preventive Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.