Eventide Logos LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EVENTIDE LOGOS LLC

Practice address

535 5TH Ave FL 4
New York, NY 10017-8020

Phone

(718) 734-9000

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By 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

Hayley Voiers

Title

Officer

Phone

(718) 734-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1356128086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178020",
            "telephone_number": "718-734-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENTIDE LOGOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "VOIERS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-734-9000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 14, 2023; 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.