Organization Active NPI

CHS Ny Medical, P.C.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1326315854
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHS NY MEDICAL, P.C.
Practice address
1 Wall St
Level a
New York, NY 10286-2500
Phone
(212) 635-7766
NPI assigned
Nov 29, 2011
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(615) 577-4927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1 Wall St
Level a
New York, NY 10286-2500

Mailing address

5500 Maryland Way
Ste 400
Brentwood, TN 37027-4948

Other names 1

  • BNY Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHS Ny Medical PC16 organizations share this tax ID, including this one
Part of
Google Wellness Center 321

Other organizations with this tax ID 15

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

View all 15

Locations

1 Wall Street Ct
Frnt A
New York, NY 10005
Phone (212) 635-7766

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1326315854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALL ST",
            "address_2": "LEVEL A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102862500",
            "telephone_number": "212-635-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS NY MEDICAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, LLC",
        "enumeration_date": "2011-11-29",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-4927"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BNY Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 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.