Take Care Medical Health New York, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TAKE CARE MEDICAL HEALTH NEW YORK, PC

Practice address

1627 Broadway
New York, NY 10019-7407

Phone

(855) 925-4733

Fax

(217) 709-2345

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Phipps

Title

Chief Financial Official/Agent

Phone

(855) 925-4733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1336585314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197407",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE MEDICAL HEALTH NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICIAL/AGENT",
        "authorized_official_telephone_number": "855-925-4733"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takashi Matsuki MD LLC
• Gregg T Takata, D.M.D.
• Hiroo Takayama, MD
• Takazawa Acupuncture, PLLC
• Naomi Takazawa Welch, LAC
• Yumiko Take, LMSW
• Yoko Takebayashi, PH.D.
• Koji Takeda, M.D.
• Chiaki Takegoshi
• Daisuke Takekoshi

• Family Medicine Physician in New York, NY
• Providers in New York, 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 Dec 2, 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.