Healthwise Medical Associates PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

HEALTHWISE MEDICAL ASSOCIATES PC

Practice address

76 10 34 Ave
Jackson Heights, NY 11372-2266

Phone

(718) 651-3979

NPI assigned

May 1, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominic Emeka Onyema, MD

Title

President

Phone

(718) 651-3979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthwise Medical Assoc Other name

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1467628297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 10 34 AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722266",
            "telephone_number": "718-651-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 10 34 AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722266",
            "telephone_number": "718-651-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ONYEMA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "EMEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-651-3979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624244",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthwise Medical Assoc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.