Organization Active NPI

Elevate PCW Ny LLC

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1780582056
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELEVATE PCW NY LLC
Practice address
500 8TH Ave FRNT 31600
New York, NY 10018-6504
Phone
(888) 527-2085
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Aqsa Jamal
Title
Owner
Phone
(469) 693-7164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

500 8TH Ave FRNT 31600
New York, NY 10018-6504

Mailing address

500 8TH Ave FRNT 31600
New York, NY 10018-6504

National Provider Directory

National Provider Directory

Locations

500 8th Ave
Frnt 31600
New York, NY 10018

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1780582056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 8TH AVE FRNT 31600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE FRNT 31600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186504",
            "telephone_number": "888-527-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PCW NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "AQSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-693-7164"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Oct 27, 2026; 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.