Active NPI
645 Medical Associates PLLC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1275231722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- 645 MEDICAL ASSOCIATES PLLC
- Practice address
- 645 Madison Ave
New York, NY 10022-1010 - Phone
- (212) 857-4537
- Fax
- (940) 209-2366
- NPI assigned
- Feb 22, 2023
- 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
- Alana Levine, MD
- Title
- Owner/Physician
- Phone
- (917) 657-2400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Rheumatology Physician | 207RR0500X |
Addresses
Primary practice location
645 Madison Ave
New York, NY 10022-1010
Mailing address
645 Madison Ave
New York, NY 10022-1010
Phone (212) 857-4537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326205881 | Other | NPI | |
| 1194737395 | Other | NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2277052 | 645 Medical Associates, PLLC | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1275231722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221010",
"telephone_number": "212-857-4537",
"fax_number": "940-209-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221010",
"telephone_number": "212-857-4537",
"fax_number": "940-209-2366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "645 MEDICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "ALANA",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "917-657-2400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326205881",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1194737395",
"state": null
}
],
"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 Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.