Harlem Medical Associates PC

Organization Active NPI General Practice Physician · New York, NY

NPI 1487957692 · NPPES record last updated Sep 2, 2016

Key facts

NPI
1487957692
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
HARLEM MEDICAL ASSOCIATES PC
Practice address
506 Malcolm X Blvd (Lenox Ave)
New York, NY 10037-1802
Phone
(631) 675-9300
Fax
(631) 675-9301
NPI assigned
Dec 9, 2010
Organization subpart
No

Authorized official

Name
Sudha Pentyala
Title
Director
Phone
(631) 675-9300

Practitioners 841

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 841

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110315000005 NY Part B Supplier - Clinic/Group Practice 9335321223 Receives reassigned benefits from 782 practitioners
Practice locations: New York, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

506 Malcolm X Blvd (Lenox Ave)
New York, NY 10037-1802

Mailing address

45 Research Way
Suite 206
East Setauket, NY 11733-6401
Phone (631) 675-9300

Other providers in New York, NY

All providers in New York, NY · General Practice Physician in New York

Sources for this page

Verify at the official NPI Registry.