NPIMap

Organization Active NPI

Immediate Medical Care of Manhattan, PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1568570356
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125498 Issued in NY
Legal business name
IMMEDIATE MEDICAL CARE OF MANHATTAN, PC
Practice address
140 W 69TH St
New York, NY 10023-5107
Phone
(212) 496-9620
Fax
(212) 496-2768
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Richard Joshua Shepard, DO
Title
President
Phone
(212) 496-9620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 125498 NY Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 227782-1 NY

Addresses

Primary practice location

140 W 69TH St
New York, NY 10023-5107

Mailing address

140 W 69TH St
New York, NY 10023-5107
Phone (212) 496-9620

Other identifiers 1

IdentifierTypeStateIssuer
A100000992OtherNYMEDICARE NGS

Other names 1

  • manhattan medical care Doing business as

National Provider Directory

National Provider Directory

Locations

140 W 69th St
New York, NY 10023
Phone (212) 496-9620

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1568570356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235107",
            "telephone_number": "212-496-9620",
            "fax_number": "212-496-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235107",
            "telephone_number": "212-496-9620",
            "fax_number": "212-496-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE MEDICAL CARE OF MANHATTAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-496-9620",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "125498",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227782-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS",
            "identifier": "A100000992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "manhattan medical care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2009; 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.