NPIMap

Organization Active NPI

Professional Medical Healthcare Service of New York, PC

  • Specialist
  • New York, NY
National Provider Identifier
1477898633
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
254668-1 Issued in NY
Legal business name
PROFESSIONAL MEDICAL HEALTHCARE SERVICE OF NEW YORK, PC
Practice address
275 Madison Ave
6TH Floor
New York, NY 10016-1101
Phone
(800) 323-7963
Fax
(718) 984-8424
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Jami Avellini, M.D.
Title
Ceo
Phone
(800) 323-7963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 254668-1 NY Primary

Addresses

Primary practice location

275 Madison Ave
6TH Floor
New York, NY 10016-1101

Mailing address

275 Madison Ave
6TH Floor
New York, NY 10016-1101
Phone (800) 323-7963

National Provider Directory

National Provider Directory
Tax ID family
Professional Medical Healthcare Service of New York3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

275 Madison Ave
Fl 6
New York, NY 10016
Phone (800) 323-7963

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1477898633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "800-323-7963",
            "fax_number": "718-984-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "800-323-7963",
            "fax_number": "718-984-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL HEALTHCARE SERVICE OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "AVELLINI",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-323-7963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "254668-1",
            "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 Nov 29, 2012; 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.