Healthy Wealthy & Wise Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

228992 Issued in NY

Legal business name

HEALTHY WEALTHY & WISE MEDICAL PC

Practice address

280 Madison Ave
Suite 905
New York, NY 10016-0801

Phone

(212) 696-4325

Fax

(212) 696-4328

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Elena A Klimenko, MDNPI 1932141280

Title

Medical Director

Phone

(212) 696-4325

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Elena Klimenko, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1932141280
  NPD (past) Authorized official
• Elliot Cecil, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
  • NPI 1063152585
  NPD (past)
• Marina Kucher, R.P.A.

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1538497292
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1720331408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "212-696-4325",
            "fax_number": "212-696-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "212-696-4325",
            "fax_number": "212-696-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY WEALTHY & WISE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "KLIMENKO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-696-4325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.