Organization Active NPI

Healthwise Medical Associates PC

  • Nephrology Physician
  • Jackson Heights, NY
National Provider Identifier
1386810885
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HEALTHWISE MEDICAL ASSOCIATES PC
Practice address
3324 77TH St
Suite 2C
Jackson Heights, NY 11372-1219
Phone
(718) 651-0601
Fax
(718) 651-0611
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dominic Emeka Onyema, M.D.
Title
President
Phone
(718) 651-0601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3324 77TH St
Suite 2C
Jackson Heights, NY 11372-1219

Mailing address

3324 77TH St
Suite 2C
Jackson Heights, NY 11372-1219
Phone (718) 651-0601

Other identifiers 1

IdentifierTypeStateIssuer
01624244MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Healthwise Medical Associates PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1386810885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 77TH ST",
            "address_2": "SUITE 2C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721219",
            "telephone_number": "718-651-0601",
            "fax_number": "718-651-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 77TH ST",
            "address_2": "SUITE 2C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721219",
            "telephone_number": "718-651-0601",
            "fax_number": "718-651-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "ONYEMA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "EMEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-651-0601",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624244",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.