Organization Active NPI

Healthier Life Medicine PLLC

  • Public Health & General Preventive Medicine Physician
  • Centerport, NY
National Provider Identifier
1831835834
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
HEALTHIER LIFE MEDICINE PLLC
Practice address
109 Taft Cres
Centerport, NY 11721-1241
Phone
(855) 916-4684
Fax
(214) 387-1079
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Andres Jimenez, MD, MSED, MBA, MSNPI 1689843534
Title
Owner
Phone
(214) 679-1220

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
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

109 Taft Cres
Centerport, NY 11721-1241

Mailing address

109 Taft Cres
Centerport, NY 11721-1241
Phone (855) 916-4684

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": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1831835834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 TAFT CRES",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211241",
            "telephone_number": "855-916-4684",
            "fax_number": "214-387-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TAFT CRES",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211241",
            "telephone_number": "855-916-4684",
            "fax_number": "214-387-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHIER LIFE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-679-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MSED, MBA, MS"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

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