Organization Active NPI

Possible Health Ca, PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1700523982
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POSSIBLE HEALTH CA, PC
Practice address
169 Madison Ave Ste 11824
New York, NY 10016-5101
Phone
(405) 331-6029
NPI assigned
May 18, 2022
Organization subpart
Yes
Parent organization
POSSIBLE HEALTH MEDICAL, PCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Carol Pelletier
Title
Operations
Phone
(405) 873-7212

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Part of
Possible Health Medical PC

Locations

5850 W 3rd St
Ste E
Los Angeles, CA 90036
Phone (323) 389-5123

680 E Main St
Ste A
Stamford, CT 06901
Phone (804) 638-3717

2578 Broadway
#580
New York, NY 10025
Phone (405) 873-7212

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

169 Madison Ave Ste 11824
New York, NY 10016-5101

Mailing address

2578 Broadway # 580
New York, NY 10025-5642

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2024.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1700523982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 BROADWAY # 580",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 11824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "405-331-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSSIBLE HEALTH CA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POSSIBLE HEALTH MEDICAL, PC",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "405-873-7212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Nov 13, 2024; 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.