Organization Active NPI

Hydrate Medical PLLC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1376297721
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HYDRATE MEDICAL PLLC
Practice address
4 W 125TH St
New York, NY 10027-4567
Phone
(917) 584-5605
NPI assigned
Feb 4, 2022
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Anne Negrin, MDNPI 1487661104
Title
Director
Phone
(917) 584-5605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

4 W 125TH St
New York, NY 10027-4567

Mailing address

3003 Purchase St Unit 616
Purchase, NY 10577-7551
Phone (917) 584-5605

National Provider Directory

National Provider Directory

Locations

3003 Purchase St
Unit 616
Purchase, NY 10577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1376297721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 PURCHASE ST UNIT 616",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105777551",
            "telephone_number": "917-584-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274567",
            "telephone_number": "917-584-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRATE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "NEGRIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-584-5605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "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 Feb 4, 2022; 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.