Red Road Medical PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RED ROAD MEDICAL PC

Practice address

317 W 54TH St Apt D
New York, NY 10019-7504

Phone

(212) 787-1877

NPI assigned

Apr 13, 2021

Last updated

Apr 15, 2021By 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

Kellie Carey

Title

Manager

Phone

(516) 729-8606

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.

• Dana G Cohen, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1376582361
  NPD (past)

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1649850629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 54TH ST APT D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197504",
            "telephone_number": "212-787-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 54TH ST APT D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197504",
            "telephone_number": "212-787-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROAD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-729-8606"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruno Recupero, M.D.
• Red Door Therapeutic Collective
• Red Lotus Acupuncture PLLC
• Red Moon Physical Therapy P.C.
• Red Ribbon Pharmacy Inc
• Hamid Reda, PHARMD
• Richard Joseph Reda, DPT
• Robert C Reda, LCSW
• Rosanna Reda, RPA-C
• Sarah Alicia Reda

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.