Active NPI
Arete Health PLLC
- General Practice Physician
- New York, NY
National Provider Identifier
1538679659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 280380
- Legal business name
- ARETE HEALTH PLLC
- Practice address
- 5 E 94TH St
New York, NY 10128-1913 - Phone
- (646) 535-6776
- Fax
- (718) 414-1651
- NPI assigned
- Oct 3, 2017
- 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
- Ms. Krystal M McKenna
- Title
- Administrator
- Phone
- (718) 362-1411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 280380 | NY | |
| General Practice Physician | 208D00000X | 280380 | NY | Primary |
Addresses
Primary practice location
5 E 94TH St
New York, NY 10128-1913
Mailing address
228 East Route 59
408
Nanuet, NY 10954
Phone (718) 362-1411
Other names 1
- Arete Physician Manhattan LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Pasadena, CA
- NPI 1083972509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507507200000",
"number": "1538679659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 EAST ROUTE 59",
"address_2": "408",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "718-362-1411",
"fax_number": "718-414-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 94TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281913",
"telephone_number": "646-535-6776",
"fax_number": "718-414-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARETE HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-03",
"last_updated": "2017-10-09",
"status": "A",
"authorized_official_last_name": "MCKENNA",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-362-1411",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "280380",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "280380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arete Physician Manhattan LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.