Active NPI
Brooklyn Heights Internal Medicine PLLC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1629765367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BROOKLYN HEIGHTS INTERNAL MEDICINE PLLC
- Practice address
- 333 W 57TH St Apt 107
New York, NY 10019-3122 - Phone
- (301) 254-6616
- Fax
- (646) 349-5562
- NPI assigned
- Apr 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Amah, MD
- Title
- Owner
- Phone
- (301) 254-6616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
333 W 57TH St Apt 107
New York, NY 10019-3122
Mailing address
333 W 57TH St
Suite 107
New York, NY 10019-3122
Phone (917) 456-7050
Other names 1
- Mewa Medical PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
333 W 57th St
Apt 107
New York, NY 10019
Phone (212) 245-7369
Practitioners & affiliated clinicians
Practitioners 1
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": "1682035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1629765367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W 57TH ST",
"address_2": "SUITE 107",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193122",
"telephone_number": "917-456-7050",
"fax_number": "646-349-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 57TH ST APT 107",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193122",
"telephone_number": "301-254-6616",
"fax_number": "646-349-5562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLYN HEIGHTS INTERNAL MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-21",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "AMAH",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-254-6616",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mewa Medical PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.