NPIMap

Organization Active NPI

Inwood Diagnostic and Treatment Center,Inc

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1295114536
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
173568 Issued in NY
Legal business name
INWOOD DIAGNOSTIC AND TREATMENT CENTER,INC
Practice address
47 Sickles St Ofc 1a
New York, NY 10040-1604
Phone
(212) 567-6200
Fax
(212) 567-9397
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Andres Miguel Pereira, M.D.NPI 1497824817
Title
Medical Director
Phone
(212) 567-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 173568 NY Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

47 Sickles St Ofc 1a
New York, NY 10040-1604

Mailing address

47 Sickles St Suite 1a
New York, NY 10040-1604
Phone (212) 567-6200

National Provider Directory

National Provider Directory
Tax ID family
Inwood Diagnostic and Treatment Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1295114536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SICKLES ST SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401604",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SICKLES ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401604",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWOOD DIAGNOSTIC AND TREATMENT CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-567-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173568",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 21, 2015; 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.