NPIMap

Organization Active NPI

Village Health Care Clinic

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1851554851
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
206313 Issued in NY
Legal business name
VILLAGE HEALTH CARE CLINIC
Practice address
121 A West 20TH St
Village Diagnostic and Treatment Center
New York, NY 10011
Phone
(212) 337-9290
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Lawrence George Hitzeman, MD
Title
Medical Director
Phone
(212) 337-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 206313 NY Primary

Addresses

Primary practice location

121 A West 20TH St
Village Diagnostic and Treatment Center
New York, NY 10011

Mailing address

240 1St Ave
Suite#C
New York, NY 10009-2601
Phone (212) 982-2075

National Provider Directory

National Provider Directory
Tax ID family
Village Diagnostic and Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1851554851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 1ST AVE",
            "address_2": "SUITE#C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092601",
            "telephone_number": "212-982-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 A WEST 20TH ST",
            "address_2": "VILLAGE DIAGNOSTIC AND TREATMENT CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-337-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HEALTH CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HITZEMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-337-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "206313",
            "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 Jul 9, 2008; 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.