Organization Active NPI

Preventive Medicine PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1285797043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREVENTIVE MEDICINE PC
Practice address
140 W End Ave
1H
New York, NY 10023-6131
Phone
(212) 873-2444
Fax
(212) 873-2452
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Majid Ali, MD
Title
President
Phone
(212) 873-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

140 W End Ave
1H
New York, NY 10023-6131

Mailing address

95 E Main St
101
Denville, NJ 07834-2158
Phone (973) 586-4111

National Provider Directory

National Provider Directory

Locations

95 E Main St
Ste 101
Denville, NJ 07834
Phone (973) 586-4111

140 W End Ave
Apt 1H
New York, NY 10023
Phone (212) 873-2444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285797043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "address_2": "101",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342158",
            "telephone_number": "973-586-4111",
            "fax_number": "973-586-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W END AVE",
            "address_2": "1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236131",
            "telephone_number": "212-873-2444",
            "fax_number": "212-873-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-873-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 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.

Verify at the official NPI Registry.