Organization Active NPI

Kore Medical

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1417548686
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KORE MEDICAL
Practice address
641 Lexington Ave FL 13
New York, NY 10022-4503
Phone
(866) 567-3633
NPI assigned
Feb 1, 2021
Organization subpart
Yes
Parent organization
KOREMED INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Dr. Edwine Rinvil, MD
Title
Ceo
Phone
(646) 661-7577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

641 Lexington Ave FL 13
New York, NY 10022-4503

Mailing address

641 Lexington Ave FL 13
New York, NY 10022-4503
Phone (866) 567-3633

Other practice location 1

357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (866) 567-3633

National Provider Directory

National Provider Directory
Part of
Koremed Inc

Locations

641 Lexington Ave
Fl 13
New York, NY 10022
Phone (631) 605-0876

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1417548686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "866-567-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "866-567-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076012519",
            "country_code": "US",
            "telephone_number": "866-567-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KORE MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOREMED INC.",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "RINVIL",
        "authorized_official_first_name": "EDWINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-661-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 13, 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.