Organization Active NPI

Covid MD PC

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1790396182
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COVID MD PC
Practice address
85 Broad St FL 18
New York, NY 10004-2783
Phone
(617) 981-0920
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Laurence Girard
Title
Ceo
Phone
(617) 981-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

85 Broad St FL 18
New York, NY 10004-2783

Mailing address

85 Broad St FL 18
New York, NY 10004-2783
Phone (617) 981-0920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1790396182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BROAD ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042783",
            "telephone_number": "617-981-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BROAD ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042783",
            "telephone_number": "617-981-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-981-0920"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Aug 11, 2020; 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.