NPIMap

Organization Active NPI

New Health Medical PC

  • Internal Medicine Physician
  • Garden City, NY
National Provider Identifier
1427606649
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW HEALTH MEDICAL PC
Doing business as
New Health Medical PC
Practice address
143 Wickham Rd
Garden City, NY 11530-1141
Phone
(347) 804-8217
Fax
(516) 750-5414
NPI assigned
Aug 30, 2019
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Nenad Grlic, DONPI 1023048782
Title
President
Phone
(347) 804-8217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

143 Wickham Rd
Garden City, NY 11530-1141

Mailing address

143 Wickham Rd
Garden City, NY 11530-1141
Phone (347) 804-8217

Other practice location 1

6918 32nd Ave
Woodside, NY 11377-2033
Phone (718) 639-9100

Other identifiers 1

IdentifierTypeStateIssuer
06868551MedicaidNY

Other names 1

  • New Health Medical PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191004002300 NY Part B Supplier - Clinic/Group Practice 3072844075 Receives reassigned benefits from 14 practitioners
Practice locations: Woodside, NY; Rockville Centre, NY; Oceanside, NY; Long Beach, NY; Arverne, NY; Far Rockaway, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1427606649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WICKHAM RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301141",
            "telephone_number": "347-804-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WICKHAM RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301141",
            "telephone_number": "347-804-8217",
            "fax_number": "516-750-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6918 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113772033",
            "country_code": "US",
            "telephone_number": "718-639-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "GRLIC",
        "authorized_official_first_name": "NENAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-804-8217",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06868551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Health Medical PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Health Medical PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.