Emerald City Medical PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EMERALD CITY MEDICAL PC

Practice address

130 E 40TH St
Ste 1001
New York, NY 10016-0941

Phone

(212) 983-1370

Fax

(212) 286-9327

NPI assigned

Dec 30, 2019

Organization subpart

Yes

Parent organization

ENRICO FAZZINI, D.O., P.CAs reported in NPPES

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

Authorized official

Name

Enrico Fazzini, DONPI 1407883150

Title

Owner

Phone

(212) 983-1370

Specialties & licenses 1

Addresses

Electronic endpoints 2

Part of

Enrico a Fazzini DO

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Enrico Fazzini, D.O., P.C

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1326128034
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrico Fazzini, DO

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1407883150
  NPD Authorized official

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1295374965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 40TH ST",
            "address_2": "STE 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "929-500-1030",
            "fax_number": "917-210-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 40TH ST",
            "address_2": "STE 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "212-983-1370",
            "fax_number": "212-286-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CITY MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENRICO FAZZINI, D.O., P.C",
        "enumeration_date": "2019-12-30",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "FAZZINI",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-983-1370",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2122869327",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "130 E 40th St # 1002",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100160941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ecmed353.com",
            "affiliation": "N",
            "address_1": "130 E 40th St",
            "address_2": "Ste 1001",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100160941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda I Embry, LCSW
• Emdo Chiropractic PC
• Jennifer Elizabeth Emejulu, NP
• Pamela Emengo, MD
• Vivian Nkiru Emengo, MD
• Emerald Healthcare Services
• Emerge and See Education Center
• Emerge Psychotherapy LCSW PLLC
• Emergecare Medical, P.C.
• Emergence Health NP Adult Health PLLC

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.