Organization Active NPI

Cognitive Medical Wellness of New York PC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1558278671
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COGNITIVE MEDICAL WELLNESS OF NEW YORK PC
Practice address
30 E 60TH St RM 2403
New York, NY 10022-1788
Phone
(212) 233-2838
NPI assigned
Aug 25, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Edward Fruitman, MDNPI 1558434134
Title
Medical Director
Phone
(917) 796-3348

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

30 E 60TH St RM 2403
New York, NY 10022-1788

Mailing address

30 E 60TH St RM 2403
New York, NY 10022-1788
Phone (516) 295-4867

National Provider Directory

National Provider Directory

Locations

30 E 60th St
Rm 2403
New York, NY 10022
Phone (212) 233-2838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1558278671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST RM 2403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221788",
            "telephone_number": "516-295-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST RM 2403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221788",
            "telephone_number": "212-233-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE MEDICAL WELLNESS OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "FRUITMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-796-3348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Aug 25, 2026; 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.