Active NPI
HP Medical PC
Doing business as tru medical management
- Primary Care Clinic/Center
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HP MEDICAL PC
- Doing business as
- tru medical management
- Practice address
- 774 Broadway Ste 2B
Brooklyn, NY 11206-5316 - Phone
- (473) 350-3053
- NPI assigned
- Jul 7, 2014
- Last updated
- Apr 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hari Polavarapu
- Title
- Director
- Phone
- (347) 335-0305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
774 Broadway Ste 2B
Brooklyn, NY 11206-5316
Mailing address
15 William St Apt 16H
New York, NY 10005-2938
Phone (917) 454-8474
Other names 1
- tru medical management
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140924001032 | NY | DME Supplier - Physician - General Practice | 2961442546 | Practice locations: Brooklyn, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba tru medical management
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1619944550
2961442546
National Provider Directory
National Provider DirectoryLocations
333 Lafayette Ave
Ste Le
Brooklyn, NY 11238
Phone (718) 638-6278
76 Manhattan Ave
#1
Brooklyn, NY 11206
Phone (347) 335-0305
81 Seigel St
Brooklyn, NY 11206
Phone (718) 388-8770
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAEHAA
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New York, NY
- NPI 1760551816
-
- Family Medicine Physician
- Bronx, NY
- NPI 1003310699
-
- Physician Assistant
- Buffalo, NY
- NPI 1245739333
-
- Women's Health Nurse Practitioner
- Brooklyn, NY
- NPI 1992304604
-
- Women's Health Nurse Practitioner
- Atlanta, GA
- NPI 1891377990
-
- Women's Health Nurse Practitioner
- Austin, TX
- NPI 1558638916
-
- Maternal & Fetal Medicine Physician
- Farmington, CT
- NPI 1407815152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1497161855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WILLIAM ST APT 16H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052938",
"telephone_number": "917-454-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 BROADWAY STE 2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065316",
"telephone_number": "473-350-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HP MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2021-04-29",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "POLAVARAPU",
"authorized_official_first_name": "HARI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "347-335-0305"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "tru medical management",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "tru medical management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.