Organization Active NPI

HP Medical PC

Doing business as tru medical management

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1497161855
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Hari PolavarapuNPI 1760551816
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.