Mid-Manhattan Medical, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MID-MANHATTAN MEDICAL, P.C.

Practice address

240 E 69TH St
New York, NY 10021-5705

Phone

(212) 472-1717

Fax

(212) 472-6103

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gideon Jacob Hedrych, M.D.

Title

President

Phone

(212) 472-1717

Specialties & licenses 1

Addresses

Other names 1

• Park Avenue Trauma Associates Doing business as

Tax ID family

Mid Manhattan Medical PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mid Manhattan Medical, P.C.

  • Sports Medicine (Emergency Medicine) Physician
  • Brooklyn, NY
  • NPI 1710370358
  NPD tax ID
• Park Avenue Trauma Associates

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1154713725
  NPD tax ID

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1598093494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215705",
            "telephone_number": "212-472-1717",
            "fax_number": "212-472-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215705",
            "telephone_number": "212-472-1717",
            "fax_number": "212-472-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MANHATTAN MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "HEDRYCH",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-472-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Trauma Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenika Miclat, RN
• Mark Luis Miclat, PT, DPT
• Mid Atlantic Medical P.C.
• Mid City TMS Psychiatric PLLC
• Mid-Atlantic Medical Services,PC
• Mid-Manhattan Oral Surgery PC
• Mid-Manhattan Physician Services,P.C.
• Mid-Manhattan Surgi-Center, Inc.
• Midcrest Optical Corporation
• Middle Path Psychological Services PLLC

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.