Active NPI
Elevate PCW Ny LLC
- Primary Care Clinic/Center
- New York, NY
National Provider Identifier
1780582056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2026
- 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
- Aqsa Jamal
- Title
- Owner
- Phone
- (469) 693-7164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.