NPIMap

Organization Active NPI

West Midtown Management Group Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1609805993
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7002163R Issued in NY
Legal business name
WEST MIDTOWN MANAGEMENT GROUP INC
Practice address
311 W 35TH St
New York, NY 10001-1701
Phone
(212) 736-5900
Fax
(212) 643-1441
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mr. Armando Fernandez
Title
Director of Mis
Phone
(212) 643-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7002163R NY Primary

Addresses

Primary practice location

311 W 35TH St
New York, NY 10001-1701

Mailing address

505 8TH Ave
10TH Floor
New York, NY 10018-6505
Phone (212) 643-8811

Other identifiers 1

IdentifierTypeStateIssuer
01911393MedicaidNY

Other names 1

  • West Midtown Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150916000965 NY Part B Supplier - Clinic/Group Practice 8729991831 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY
O20210301001552 NY Part A Provider - Other 8729991831 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

505 8th Ave
Fl 10
New York, NY 10018

315 W 35th St
Fl 6
New York, NY 10001
Phone (212) 643-8811

505 8th Ave
Rm 404
New York, NY 10018
Phone (212) 643-8811

Practitioners & affiliated clinicians

Practitioners 9

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1609805993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 8TH AVE",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186505",
            "telephone_number": "212-643-8811",
            "fax_number": "212-643-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011701",
            "telephone_number": "212-736-5900",
            "fax_number": "212-643-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MIDTOWN MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "DIRECTOR OF MIS",
        "authorized_official_telephone_number": "212-643-8811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7002163R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01911393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Midtown Medical Group",
            "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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.