Organization Active NPI

Plaza East Internal Medicine PC

  • Legal Medicine
  • New York, NY
National Provider Identifier
1699787259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
2015162 Issued in NY
Legal business name
PLAZA EAST INTERNAL MEDICINE PC
Practice address
110 E 59TH St
Suite 10a
New York, NY 10022-1304
Phone
(212) 750-7404
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mindy WeissNPI 1992723308
Title
Sole Proprieter
Phone
(212) 750-7404

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
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 2015162 NY Primary

Addresses

Primary practice location

110 E 59TH St
Suite 10a
New York, NY 10022-1304

Mailing address

110 E 59TH St
Suite 10a
New York, NY 10022-1304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080205000378 NY Part B Supplier - Clinic/Group Practice 0941382535 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

110 E 59th St
Rm 10A
New York, NY 10022
Phone (212) 523-6720

161 Madison Ave
Rm 10E
New York, NY 10016
Phone (212) 750-7404

192 Lexington Ave
Fl 2
New York, NY 10016
Phone (212) 370-1200

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699787259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST",
            "address_2": "SUITE 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST",
            "address_2": "SUITE 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221304",
            "telephone_number": "212-750-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA EAST INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "212-750-7404"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "2015162",
            "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 Aug 22, 2020; 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.

Verify at the official NPI Registry.