Upper East Side Community Neurology PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

252686 Issued in NY

Legal business name

UPPER EAST SIDE COMMUNITY NEUROLOGY PC

Practice address

17 E 96TH St
1B
New York, NY 10128-0783

Phone

(212) 427-4852

Fax

(646) 439-9226

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Caroline M Badeer, MD

Title

President

Phone

(212) 427-4852

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1790114577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E 96TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280783",
            "telephone_number": "212-427-4852",
            "fax_number": "646-439-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 96TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280783",
            "telephone_number": "212-427-4852",
            "fax_number": "646-439-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EAST SIDE COMMUNITY NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "BADEER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-427-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "252686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03347133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.