NPIMap

Organization Active NPI

CHS Ny Medical P C

  • General Practice Physician
  • New York, NY
National Provider Identifier
1235514043
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHS NY MEDICAL P C
Practice address
225 Liberty St
20TH Floor
New York, NY 10281-1008
Phone
(212) 635-7766
Fax
(212) 635-8012
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Dr. Cornell Pearcy, MD
Title
President
Phone
(615) 468-6248

Specialties & licenses 1

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

Addresses

Primary practice location

225 Liberty St
20TH Floor
New York, NY 10281-1008

Mailing address

5500 Maryland Way
Ste 200
Brentwood, TN 37027-4948

Other names 2

  • Liberty Health Center Doing business as
  • Live Well Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHS Ny Medical PC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1235514043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LIBERTY ST",
            "address_2": "20TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102811008",
            "telephone_number": "212-635-7766",
            "fax_number": "212-635-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS NY MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "PEARCY",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-468-6248",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Liberty Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Well Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2018; 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.