Executive Health Medical Group of New York, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXECUTIVE HEALTH MEDICAL GROUP OF NEW YORK, PC

Doing business as

Executive Health Exams

Practice address

10 Rockefeller PLZ
4TH Floor
New York, NY 10020-1903

Phone

(212) 332-3700

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Roxana Guzman

Title

Director of Accounting

Phone

(212) 332-3725

Specialties & licenses 1

Addresses

Other names 1

• Executive Health Exams Doing business as

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1578779302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROCKEFELLER PLZ",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201903",
            "telephone_number": "212-332-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROCKEFELLER PLZ",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201903",
            "telephone_number": "212-332-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HEALTH MEDICAL GROUP OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "212-332-3725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Health Exams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Exceptional Individual Services Corp. (Benny)
• Exceptional Medicine and Surgery PC
• Exceptional Wellness of New York Incorporated
• Exclusive Dental Studios (Madison Avenue Dental Associates)
• Raphael Luis Gutierrez Exconde, LMSW
• Executive Medical Services PC (Affiliated Physicians)
• Peterson Exil, PA-C
• Marie Exilien, RN
• Amelia Catherine Exner, MA, LMFT
• Exodus Transitional Community, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.