Organization Active NPI

360 Complete Medical PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1821762915
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
360 COMPLETE MEDICAL PC
Practice address
120 E 56TH St FL 14
New York, NY 10022-3699
Phone
(212) 348-5100
NPI assigned
Aug 3, 2021
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
David Kaplowitz, MDNPI 1083670103
Title
Owner
Phone
(917) 379-4788

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

120 E 56TH St FL 14
New York, NY 10022-3699

Mailing address

120 E 56TH St FL 14
New York, NY 10022-3699
Phone (212) 348-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240705002570 NY Part B Supplier - Clinic/Group Practice 5496299091 Receives reassigned benefits from 5 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1033325360 Complete Medical PC120 East 56TH Street, 14TH Floor, New York, NY 10022ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1556 3rd Ave
Ste 404
New York, NY 10128

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1821762915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223699",
            "telephone_number": "212-348-5100",
            "fax_number": "212-410-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223699",
            "telephone_number": "212-348-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 COMPLETE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "KAPLOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-379-4788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.