Organization Active NPI

Medemedia Inc

  • Contractor
  • North Bay Village, FL
National Provider Identifier
1801481338
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
MEDEMEDIA INC
Practice address
1666 J F Kennedy Cswy Ste 209
North Bay Village, FL 33141-4134
Phone
(518) 334-1400
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Tiya Bhattacharya
Title
Ceo
Phone
(518) 334-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

1666 J F Kennedy Cswy Ste 209
North Bay Village, FL 33141-4134

Mailing address

1666 J F Kennedy Cswy Ste 209
North Bay Village, FL 33141-4134
Phone (518) 334-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1801481338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 J F KENNEDY CSWY STE 209",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414134",
            "telephone_number": "518-334-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 J F KENNEDY CSWY STE 209",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414134",
            "telephone_number": "518-334-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEMEDIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "BHATTACHARYA",
        "authorized_official_first_name": "TIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-334-1400"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.