Organization Active NPI

Park East Medical Pulmonary Medicine and Critical Care, P.C.

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1386790806
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
205745 Issued in NY
Legal business name
PARK EAST MEDICAL PULMONARY MEDICINE AND CRITICAL CARE, P.C.
Practice address
54 East 82ND Street
New York, NY 10028-0305
Phone
(212) 734-4484
Fax
(212) 734-4486
NPI assigned
Jan 26, 2007
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Ms. Nouhad H Samaha Sr., CHIEF EXECUTIVE
Title
Officer
Phone
(212) 734-4484

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205745 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 205745 NY
Pulmonary Disease Physician 207RP1001X 205745 NY Primary

Addresses

Primary practice location

54 East 82ND Street
New York, NY 10028-0305

Mailing address

230 East 52ND Street
#2D
New York, NY 10022-6208
Phone (212) 734-4484

Other identifiers 2

IdentifierTypeStateIssuer
DE3422OtherNYRAILROAD
P00286717/DE3422OtherNYRAILROAD PIN/GRP

National Provider Directory

National Provider Directory

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1386790806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EAST 52ND STREET",
            "address_2": "#2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226208",
            "telephone_number": "212-734-4484",
            "fax_number": "212-734-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 EAST 82ND STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280305",
            "telephone_number": "212-734-4484",
            "fax_number": "212-734-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK EAST MEDICAL PULMONARY MEDICINE AND CRITICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "NOUHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "212-734-4484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CHIEF EXECUTIVE"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205745",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "205745",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "205745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DE3422",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN/GRP",
            "identifier": "P00286717/DE3422",
            "state": "NY"
        }
    ],
    "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 Dec 7, 2015; 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.