Medical One New York, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4592 Issued in NY

Legal business name

MEDICAL ONE NEW YORK, PC

Practice address

20 East 46TH Street
9TH Floor
New York, NY 10017-9249

Phone

(646) 490-5475

Fax

(646) 559-4673

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rosemarie Phillip, MD

Title

Medical Director

Phone

(646) 490-5475

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Medical One New York PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical One New York P.C.

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1760745236
  NPD tax ID

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1770832156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EAST 46TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179249",
            "telephone_number": "646-490-5475",
            "fax_number": "646-559-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST 46TH STREET",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179249",
            "telephone_number": "646-490-5475",
            "fax_number": "646-559-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONE NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-490-5475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF",
            "identifier": "4592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Pain Management, P.C. (Medical Pain Management)
• Medical Practice Ny PC
• Medical Remedies PC

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.