Organization Active NPI

New York Internal Medicine, PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1457741159
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
267642-1 Issued in NY
Legal business name
NEW YORK INTERNAL MEDICINE, PC
Practice address
1865 Amsterdam Ave
New York, NY 10031-1716
Phone
(212) 491-0100
Fax
(212) 491-0114
NPI assigned
Feb 2, 2015
Organization subpart
Yes
Parent organization
NEW YORK INTERNAL MEDICINE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Ms. Rebecca Meek
Title
Billing Manager
Phone
(814) 339-7858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 267642-1 NY Primary

Addresses

Primary practice location

1865 Amsterdam Ave
New York, NY 10031-1716

Mailing address

1752 Francis Lewis Blvd
Whitestone, NY 11357-3247
Phone (814) 339-7858

National Provider Directory

National Provider Directory
Tax ID family
New York Internal Medicine PC4 organizations share this tax ID, including this one
Part of
New York Internal Medicine PC

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1457741159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573247",
            "telephone_number": "814-339-7858",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311716",
            "telephone_number": "212-491-0100",
            "fax_number": "212-491-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK INTERNAL MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK INTERNAL MEDICINE, PC",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "814-339-7858",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267642-1",
            "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 Feb 2, 2015; 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.