Active NPI
New City Medical PLLC
- Internal Medicine Physician
- New City, NY
National Provider Identifier
1255409801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEW CITY MEDICAL PLLC
- Practice address
- 20 Squadron Blvd
Ste 290
New City, NY 10956 - Phone
- (845) 634-9400
- Fax
- (845) 634-0547
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard I Laitman, MD
- Title
- Owner
- Phone
- (845) 634-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
20 Squadron Blvd
Ste 290
New City, NY 10956
Mailing address
20 Squadron Blvd
Ste 290
New City, NY 10956
Phone (845) 634-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00687985 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
20 Squadron Blvd
Ste 290
New City, NY 10956
Phone (845) 634-9400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Nanuet, NY
- NPI 1245258243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255409801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SQUADRON BLVD",
"address_2": "STE 290",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-634-9400",
"fax_number": "845-634-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SQUADRON BLVD",
"address_2": "STE 290",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-634-9400",
"fax_number": "845-634-0547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CITY MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAITMAN",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-634-9400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00687985",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
- Neurodistinct Consulting, LLC
- New City Acupuncture Wellness PLLC
- New City Chiropractic Center LLP
- New City Eyes, Inc.
- New City Family Dental Group P.C.
- New City Pharmacy LLC (New City Pharmacy)
- New City Physical Medicine & Rehabilitation PC
- New City Physical Therapy LLC (Bardonia Rehabilitation Services)
- New City RX LLC (Pharmaceutical Consultants)
- New City RX LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.