Active NPI
Pinehurst Medical PC
- Pulmonary Disease Physician
- New York, NY
National Provider Identifier
1770802324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 253513
- Legal business name
- PINEHURST MEDICAL PC
- Practice address
- 139 Centre St
Suite 802
New York, NY 10013-4408 - Phone
- (212) 966-2818
- Fax
- (212) 966-2852
- NPI assigned
- May 21, 2010
- Last updated
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrea B Feng, M.D.
- Title
- President
- Phone
- (212) 729-0391
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 253513 | NY | Primary |
Addresses
Primary practice location
139 Centre St
Suite 802
New York, NY 10013-4408
Mailing address
139 Centre St
Suite 802
New York, NY 10013-4408
Phone (212) 966-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
139 Centre St
Ste 802
New York, NY 10013
Phone (212) 729-0391
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJJABA
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1902072788
-
- Internal Medicine Physician
- New York, NY
- NPI 1851459895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1770802324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "SUITE 802",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134408",
"telephone_number": "212-966-2818",
"fax_number": "212-966-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "SUITE 802",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134408",
"telephone_number": "212-966-2818",
"fax_number": "212-966-2852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEHURST MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-21",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "FENG",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-729-0391",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "253513",
"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 Sep 21, 2011; 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.