Inwood Diagnostic and Treatment Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INWOOD DIAGNOSTIC AND TREATMENT CENTER INC

Practice address

47 Sickles St
Suite 1a
New York, NY 10040

Phone

(212) 567-6200

Fax

(212) 567-9397

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Andres Miguel Pereira, M.D.NPI 1497824817

Title

Director

Phone

(212) 567-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Inwood Diagnostic and Treatment Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Inwood Diagnostic and Treatment Center,Inc

  • Family Medicine Physician
  • New York, NY
  • NPI 1295114536
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andres Miguel Pereira, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1497824817
  Medicare reassignment Authorized official
• Sapphire Mann Ahmed, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1750456166
  Medicare reassignment
• Jose L Davis

  • Gerontology Nurse Practitioner
  • Clifton, NJ
  • NPI 1639975907
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1457598096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SICKLES ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SICKLES ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-567-6200",
            "fax_number": "212-567-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWOOD DIAGNOSTIC AND TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-567-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somje Inwelegbu
• Inwood Community Services
• Inwood Community Services, Inc.
• Inwood Community Services, Inc.
• Inwood Dental Associates, P.C.
• Inwood Diagnostic and Treatment Center,Inc
• Inwood Hill Therapy LCSW
• Inwood House
• Inwood Medical Diagnostic, P.C.
• Inwood Pharma Inc

• Multi-Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.