Organization Active NPI

Intensive Medical PC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1801918636
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
149376 Issued in NY
Legal business name
INTENSIVE MEDICAL PC
Practice address
941 Park Ave
New York, NY 10028-0318
Phone
(212) 861-6161
Fax
(212) 861-0500
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mrs. Annette Osher, MDNPI 1225090640
Title
Owner
Phone
(212) 861-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 149376 NY Primary

Addresses

Primary practice location

941 Park Ave
New York, NY 10028-0318

Mailing address

941 Park Ave
New York, NY 10028-0318
Phone (212) 861-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071004000807 NY Part B Supplier - Clinic/Group Practice 9638264674 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

121W 106TH St
New York, NY 10025
Phone (212) 870-4715

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1801918636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280318",
            "telephone_number": "212-861-6161",
            "fax_number": "212-861-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280318",
            "telephone_number": "212-861-6161",
            "fax_number": "212-861-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "OSHER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-861-6161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "149376",
            "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 Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.