Manhattan Optimal Medical Wellness, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

230304 Issued in NY

Legal business name

MANHATTAN OPTIMAL MEDICAL WELLNESS, PLLC

Doing business as

Medi-Weightloss Clinics

Practice address

115 E 57TH St
Suite 1450
New York, NY 10022-2049

Phone

(212) 203-7098

NPI assigned

Feb 8, 2016

Last updated

May 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luiza F. Petre, MD

Title

Owner

Phone

(212) 203-7098

Specialties & licenses 1

Addresses

Other names 1

• Medi-Weightloss Clinics Doing business as

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1538527346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-203-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-203-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN OPTIMAL MEDICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "PETRE",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-203-7098",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.