Organization Active NPI

Gotham Wellness LLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1518653765
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GOTHAM WELLNESS LLC
Practice address
150 E 37TH St Ofc Unitc
New York, NY 10016-3156
Phone
(917) 549-8543
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Dina Dawn Strachan, MDNPI 1164466967
Title
Owner
Phone
(917) 549-8543

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

150 E 37TH St Ofc Unitc
New York, NY 10016-3156

Mailing address

150 E 37TH St Ofc Unitc
New York, NY 10016-3156
Phone (212) 627-1004

National Provider Directory

National Provider Directory

Locations

150 E 37th St
Ofc
New York, NY 10016
Phone (212) 627-1004

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1518653765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 37TH ST OFC UNITC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163156",
            "telephone_number": "212-627-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 37TH ST OFC UNITC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163156",
            "telephone_number": "917-549-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "STRACHAN",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-549-8543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Apr 12, 2023; 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.