1Stop DX LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

1STOP DX LLC

Practice address

99 Wall St
New York, NY 10005-4301

Phone

(908) 342-0857

NPI assigned

Apr 3, 2021

Organization subpart

No

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

Authorized official

Name

Juan Pena

Title

Managing Member

Phone

(908) 342-0857

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1659950137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WILLIAM ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613537",
            "telephone_number": "908-342-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "908-342-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1STOP DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-342-0857"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HBS ID NUMBER",
            "identifier": "436470",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@1stopdx.com",
            "affiliation": "N",
            "address_1": "99 Wall St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100054301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• 18 Pharmacy Inc
• 180 Degrees Medical PLLC
• 181 Pharmacy Inc.
• 181St Street Medical P.C.
• 1995 Broadway Dental Arts PLLC
• 2 5TH Avenue Medical
• 20 East Chiropractic of Midtown
• 200 West Optics, LLC
• 200 West Optics, LLC
• 2000 Ninos Inc.

• Health Maintenance Organization in New York, NY
• Providers in New York, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.