Active NPI
Possible Health Ca, PC
- Family Medicine Physician
- New York, NY
National Provider Identifier
1700523982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, PC
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1669115077
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- New York, NY
- NPI 1962819680
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1124481015
Family Medicine
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.