Active NPI
North General Hospital Diagnostic & Treatment Ctr
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1306906110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH GENERAL HOSPITAL DIAGNOSTIC & TREATMENT CTR
- Practice address
- 1879 Madison Ave
New York, NY 10035-2709 - Phone
- (212) 423-4843
- NPI assigned
- Dec 11, 2006
- 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
- Mrs. Juanita Smith
- Title
- Patient Accts Manager
- Phone
- (212) 423-4843
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | |||
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Pediatrics Physician | 208000000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
1879 Madison Ave
New York, NY 10035-2709
Mailing address
1879 Madison Ave
New York, NY 10035-2709
Phone (212) 423-4843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02577993 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185321600000",
"number": "1306906110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352709",
"telephone_number": "212-423-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352709",
"telephone_number": "212-423-4843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GENERAL HOSPITAL DIAGNOSTIC & TREATMENT CTR",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "PATIENT ACCTS MANAGER",
"authorized_official_telephone_number": "212-423-4843",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02577993",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- North General Home Attendant Corp.
- North General Hospital
- North General Hospital
- North General Hospital
- North General Hospital
- North General Physician Services PLLC
- North Jersey Medical and Wellness
- North Shore Hematology Oncology Associates PC
- North Shore Hematology Oncology Associates PC
- North Shore Hematology Oncology Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.