NPIMap

Organization Active NPI

Davis Medical PLLC

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1265161392
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DAVIS MEDICAL PLLC
Practice address
161 Lenox Ave
New York, NY 10026-1320
Phone
(973) 868-0615
Fax
(845) 421-8668
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Sampson M Davis, MD
Title
Authorized Official
Phone
(973) 868-0615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

161 Lenox Ave
New York, NY 10026-1320

Mailing address

350 Harding Dr
South Orange, NJ 07079-1339
Phone (973) 868-0615

Other practice location 1

490 Riverside Dr
New York, NY 10027-5706
Phone (973) 868-0615

National Provider Directory

National Provider Directory

Locations

40 Union Ave
Irvington, NJ 07111
Phone (973) 351-8834

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1265161392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HARDING DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791339",
            "telephone_number": "973-868-0615",
            "fax_number": "845-421-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261320",
            "telephone_number": "973-868-0615",
            "fax_number": "845-421-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100275706",
            "country_code": "US",
            "telephone_number": "973-868-0615",
            "fax_number": "845-421-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SAMPSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-868-0615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Jun 6, 2022; 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.