Organization Active NPI

Vitalcheck Wellness

  • Clinical Informatics Physician
  • New York, NY
National Provider Identifier
1770213621
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Informatics PhysicianTaxonomy code 2083C0008X
Legal business name
VITALCHECK WELLNESS
Practice address
241 W 37TH St RM 402
New York, NY 10018-6818
Phone
(312) 912-2408
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Mr. Amir Mansour
Title
Ceo
Phone
(312) 912-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083C0008X Primary

Addresses

Primary practice location

241 W 37TH St RM 402
New York, NY 10018-6818

Mailing address

241 W 37TH St RM 402
New York, NY 10018-6818
Phone (312) 912-2408

National Provider Directory

National Provider Directory

Locations

241 W 37th St
Rm 402
New York, NY 10018
Phone (312) 912-2408

Interoperability endpoints

  • Direct secure messaging: pgunda@corp.vitalcheck.phimailbox.com
  • Direct secure messaging: jwarren@corp.vitalcheck.phimailbox.com

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1770213621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 37TH ST RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186818",
            "telephone_number": "312-912-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W 37TH ST RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186818",
            "telephone_number": "312-912-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCHECK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-912-2408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Clinical Informatics",
            "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 Jun 14, 2022; 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.