Active NPI
Kore Medical
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1417548686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1275124489
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.