Prohealth Connect, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PROHEALTH CONNECT, LLC

Practice address

10 Nottingham Dr
Wheatley Heights, NY 11798-1522

Phone

(646) 239-9757

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Steven Rivera

Title

Clerk

Phone

(646) 239-9757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1508488743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NOTTINGHAM DR",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981522",
            "telephone_number": "646-239-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NOTTINGHAM DR",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981522",
            "telephone_number": "646-239-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CONNECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "646-239-9757"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Wheatley Heights, NY
• Providers in Wheatley Heights, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.