Medirootz Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDIROOTZ MEDICAL GROUP

Practice address

1636 3Rd Ave Ste 129
New York, NY 10128-3622

Phone

(267) 634-7011

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Hinson

Title

Director

Phone

(267) 634-7011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1659015196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JFK PKWY FL 1",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 3RD AVE STE 129",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283622",
            "telephone_number": "267-634-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 JFK Pkwy Fl 1",
            "address_purpose": "LOCATION",
            "city": "Short Hills",
            "state": "NJ",
            "postal_code": "070782713",
            "country_code": "US",
            "telephone_number": "212-746-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIROOTZ MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-634-7011",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mariah Medina
• Samuel Medina
• Vivian M Medina, LCSW
• Sophia Medinsky, M.S., R.D., C.D.N.
• Amit Mediratta, M.D.
• Medispa One Ny Plaza LLC
• Samantha Meditz
• Ben Medley
• Andrew Blake Medlin, PT
• Barbara Medlin, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.