Organization Active NPI

Onemed Medical PC

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1356760672
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ONEMED MEDICAL PC
Practice address
96 E 4TH St
New York, NY 10003-9001
Phone
(347) 685-4007
Fax
(347) 625-6252
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Tinatin Urphanishvili
Title
President
Phone
(347) 685-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

96 E 4TH St
New York, NY 10003-9001

Mailing address

96 E 4TH St
New York, NY 10003-9001
Phone (347) 685-4007

National Provider Directory

National Provider Directory

Locations

96 E 4th St
New York, NY 10003
Phone (212) 677-8850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1356760672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039001",
            "telephone_number": "347-685-4007",
            "fax_number": "347-625-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039001",
            "telephone_number": "347-685-4007",
            "fax_number": "347-625-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEMED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "URPHANISHVILI",
        "authorized_official_first_name": "TINATIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-685-4007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 2014; 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.