Organization Active NPI

Greenwich Street Medical Services of New York PC

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1477325413
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GREENWICH STREET MEDICAL SERVICES OF NEW YORK PC
Practice address
609 Greenwich St
New York, NY 10014-3610
Phone
(212) 261-6542
Fax
(505) 212-0553
NPI assigned
Oct 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Johonniuss Chemweno
Title
Tpa Ceo
Phone
(212) 261-6542

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Home Health Agency 251E00000X
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

609 Greenwich St
New York, NY 10014-3610

Mailing address

609 Greenwich St
New York, NY 10014-3610
Phone (212) 261-6542

National Provider Directory

National Provider Directory

Locations

609 Greenwich St
New York, NY 10014
Phone (212) 261-6542

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1477325413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 GREENWICH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143610",
            "telephone_number": "212-261-6542",
            "fax_number": "505-212-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GREENWICH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143610",
            "telephone_number": "212-261-6542",
            "fax_number": "505-212-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH STREET MEDICAL SERVICES OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CHEMWENO",
        "authorized_official_first_name": "JOHONNIUSS",
        "authorized_official_title_or_position": "TPA CEO",
        "authorized_official_telephone_number": "212-261-6542"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Oct 24, 2023; 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.