Organization Active NPI

Healthline Force Inc

  • Multi-Specialty Clinic/Center
  • Woodside, NY
National Provider Identifier
1275106361
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTHLINE FORCE INC
Practice address
6019 Roosevelt Ave Ste 226
Woodside, NY 11377-4375
Phone
(585) 358-3388
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Ms. Michiel Mendoza-Mohabir
Title
Ceo
Phone
(347) 612-6841

Specialties & licenses 1

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

Addresses

Primary practice location

6019 Roosevelt Ave Ste 226
Woodside, NY 11377-4375

Mailing address

6019 Roosevelt Ave Ste 226
Woodside, NY 11377-4375
Phone (585) 358-3388

National Provider Directory

National Provider Directory

Locations

6019 Roosevelt Ave
Ste 226
Woodside, NY 11377
Phone (585) 358-3388

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1275106361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ROOSEVELT AVE STE 226",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774375",
            "telephone_number": "585-358-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 ROOSEVELT AVE STE 226",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774375",
            "telephone_number": "585-358-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE FORCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA-MOHABIR",
        "authorized_official_first_name": "MICHIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-612-6841",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.