NPIMap

Organization Active NPI

Manhattan West Side Medical Service PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1669006946
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MANHATTAN WEST SIDE MEDICAL SERVICE PLLC
Practice address
300 Fort Washington Ave Ofc 1
New York, NY 10032-1323
Phone
(212) 316-3276
Fax
(212) 568-3688
NPI assigned
Feb 26, 2020
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Ricardo E Pou, MDNPI 1396847976
Title
MD
Phone
(212) 316-3276

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

300 Fort Washington Ave Ofc 1
New York, NY 10032-1323

Mailing address

300 Fort Washington Ave Ofc 1
New York, NY 10032-1323
Phone (212) 316-3276

National Provider Directory

National Provider Directory
Tax ID family
Dr Ricardo E Pou Physician PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Fort Washington Ave
Ofc 1
New York, NY 10032
Phone (212) 316-3276

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1669006946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FORT WASHINGTON AVE OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321323",
            "telephone_number": "212-316-3276",
            "fax_number": "212-568-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FORT WASHINGTON AVE OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321323",
            "telephone_number": "212-316-3276",
            "fax_number": "212-568-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN WEST SIDE MEDICAL SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-316-3276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 12, 2020; 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.