Organization Active NPI

Pinkbridge NP Family Health PC

  • Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1821729641
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PINKBRIDGE NP FAMILY HEALTH PC
Practice address
7714 113TH St Apt 5V
Forest Hills, NY 11375-7122
Phone
(212) 906-4406
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Ella ArchibaldNPI 1972959088
Title
President
Phone
(212) 906-4406

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
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7714 113TH St Apt 5V
Forest Hills, NY 11375-7122

Mailing address

7714 113TH St Apt 5V
Forest Hills, NY 11375-7122
Phone (212) 906-4406

Other names 1

  • PINKBRIDGE Other name

National Provider Directory

National Provider Directory

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1821729641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 113TH ST APT 5V",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757122",
            "telephone_number": "212-906-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 113TH ST APT 5V",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757122",
            "telephone_number": "212-906-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKBRIDGE NP FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-906-4406"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINKBRIDGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.