New York Prebysterian Medical Center

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

066512-1 Issued in NY

Legal business name

NEW YORK PREBYSTERIAN MEDICAL CENTER

Practice address

45 Fairview Ave Apt 7H
New York, NY 10040-2755

Phone

(212) 932-5355

Fax

(212) 932-5161

NPI assigned

Apr 16, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Deyanira Pena-Martinez, LMSW

Title

Social Worker

Phone

(212) 942-0414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1346566262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FAIRVIEW AVE APT 7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402755",
            "telephone_number": "212-932-5355",
            "fax_number": "212-932-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FAIRVIEW AVE APT 7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402755",
            "telephone_number": "212-932-5355",
            "fax_number": "212-932-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PREBYSTERIAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "PENA-MARTINEZ",
        "authorized_official_first_name": "DEYANIRA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "212-942-0414",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NY",
            "license": "066512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Family Planning Facility in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Family Planning Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.