Health Development & Restorative Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

231817 Issued in NY

Legal business name

HEALTH DEVELOPMENT & RESTORATIVE MEDICINE, PC

Practice address

1469 Beach Ave
Medical Office
Bronx, NY 10460-3630

Phone

(347) 810-9001

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Perez, D.O.NPI 1548221567

Title

President

Phone

(631) 682-5163

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Andrea Perez, D.O.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1548221567

  NY

  Medicare reassignment Authorized official
• Denise Antoinette Levy, DPM

  • Podiatrist
  • Bronx, NY
  • NPI 1154417111

  NY

  Medicare reassignment

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1285869677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 BEACH AVE",
            "address_2": "MEDICAL OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603630",
            "telephone_number": "347-810-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 BEACH AVE",
            "address_2": "MEDICAL OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603630",
            "telephone_number": "347-810-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DEVELOPMENT & RESTORATIVE MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-682-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231817",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100017863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Chiropractic and Wellness, P.C.
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• Health Advantage Rehab Services Inc
• Health and Restoration Center
• Health Council Pharmacy
• Health First Medical Supplies Inc
• Health One Physical Therapy,PC
• Health People, Inc.
• Health People, Inc.
• Health People, Inc. - Cdsmp Program

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.