NPIMap

Organization Active NPI

Mid-Manhattan Medical, P.C.

Doing business as Park Avenue Trauma Associates

  • Specialist
  • New York, NY
National Provider Identifier
1598093494
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID-MANHATTAN MEDICAL, P.C.
Doing business as
Park Avenue Trauma Associates
Practice address
240 E 69TH St
New York, NY 10021-5705
Phone
(212) 472-1717
Fax
(212) 472-6103
NPI assigned
Dec 3, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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.NPI 1861617474
Title
President
Phone
(212) 472-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

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

Mailing address

240 E 69TH St
New York, NY 10021-5705
Phone (212) 472-1717

Other names 1

  • Park Avenue Trauma Associates Doing business as

National Provider Directory

National Provider Directory
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.

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": "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"
        }
    ]
}

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 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.