NPIMap

Organization Active NPI

L.I.G. Medical, P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1396071528
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1427181 Issued in NY
Legal business name
L.I.G. MEDICAL, P.C.
Practice address
480 2ND Ave
Main Floor Suite
New York, NY 10016-9151
Phone
(347) 417-9081
Fax
(718) 732-2434
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Alan R Raymond, M.D.
Title
Owner
Phone
(347) 417-9081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1427181 NY Primary

Addresses

Primary practice location

480 2ND Ave
Main Floor Suite
New York, NY 10016-9151

Mailing address

480 2ND Ave
Main Floor Suite
New York, NY 10016-9151
Phone (347) 417-9081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1396071528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 2ND AVE",
            "address_2": "MAIN FLOOR SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169151",
            "telephone_number": "347-417-9081",
            "fax_number": "718-732-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 2ND AVE",
            "address_2": "MAIN FLOOR SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169151",
            "telephone_number": "347-417-9081",
            "fax_number": "718-732-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.G. MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-417-9081",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1427181",
            "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 Oct 22, 2009; 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.