Pan American Medical Center,Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

7002147R Issued in NY

Legal business name

PAN AMERICAN MEDICAL CENTER,INC.

Practice address

500 W 57TH St
New York, NY 10019-2902

Phone

(212) 293-3000

Fax

(212) 293-3020

NPI assigned

May 20, 2008

Last updated

Sep 18, 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

Howard M Field

Title

Director of Strategic Planning

Phone

(212) 376-1810

Specialties & licenses 9

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1477710184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192902",
            "telephone_number": "212-293-3000",
            "fax_number": "212-293-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192902",
            "telephone_number": "212-293-3000",
            "fax_number": "212-293-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN AMERICAN MEDICAL CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF STRATEGIC PLANNING",
        "authorized_official_telephone_number": "212-376-1810"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "7002147R",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "7002147R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Pampalone
• Taline Renata Pampanini, M.D.
• Nagathna Pamphil
• Isabella Amelia Pampillonia
• Vidyasagar Pamulapati, PHYSICAL THERAPIST
• Alexander Pan, MD
• Cheryl J Pan
• Ching Wei Pan
• Christina Pan
• Chu Kuang Pan, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.