Organization Active NPI

CM Medical PC

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1548509524
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CM MEDICAL PC
Practice address
305 E 55TH St
New York, NY 10022-4148
Phone
(347) 417-9080
Fax
(718) 732-2434
NPI assigned
Feb 11, 2013
Last updated
Feb 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Mrs. Jessica Daley
Title
Account Executive
Phone
(347) 417-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

305 E 55TH St
New York, NY 10022-4148

Mailing address

1903 Utica Ave
Brooklyn, NY 11234-3213
Phone (347) 417-9080

National Provider Directory

National Provider Directory

Locations

1903 Utica Ave
Brooklyn, NY 11234

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1548509524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343213",
            "telephone_number": "347-417-9080",
            "fax_number": "718-732-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 55TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224148",
            "telephone_number": "347-417-9080",
            "fax_number": "718-732-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ACCOUNT EXECUTIVE",
        "authorized_official_telephone_number": "347-417-9080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "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 Feb 11, 2013; 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.