Aetna Health Inc. (Ny)

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AETNA HEALTH INC. (NY)

Practice address

101 Park Ave FL 15
New York, NY 10178-2104

Phone

(855) 456-9126

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward C Lee

Title

Executive Director Senior Counsel

Phone

(860) 273-8329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1346858180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARK AVE FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101782104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK AVE FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101782104",
            "telephone_number": "855-456-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA HEALTH INC. (NY)",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR SENIOR COUNSEL",
        "authorized_official_telephone_number": "860-273-8329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.