Supportive Medical PC

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X

Legal business name

SUPPORTIVE MEDICAL PC

Practice address

181 Malcolm X Blvd
Unit 2
New York, NY 10026-1364

Phone

(646) 883-2273

NPI assigned

May 13, 2016

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Thompson, MDNPI 1144339474

Title

Owner

Phone

(505) 681-8222

Specialties & licenses 1

Addresses

Locations

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.

• Lisa E Thompson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1144339474
  Authorized official Same address or phone

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1609222173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MALCOLM X BLVD",
            "address_2": "UNIT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261364",
            "telephone_number": "646-883-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MALCOLM X BLVD",
            "address_2": "UNIT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261364",
            "telephone_number": "646-883-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-681-8222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Supple
• Supplemental Health Care
• Supplemental Healthcare
• Support by Design Inc
• Support by Design, OT, SLP,PT, PLLC (Support By Design)
• Supportive Psychological Services PC
• Supreme Medical Diagnostic,P.C.
• Supreme Therapy Services, LLC
• Farrah Suprijanto
• Ulana Suprun, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.