Independence at Home - Physician House Calls for the Homebound, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

123754 Issued in NY

Legal business name

INDEPENDENCE AT HOME - PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C.

Practice address

501 Main St
Suite C
New York, NY 10044-0190

Phone

(212) 832-2310

Fax

(212) 753-5507

NPI assigned

Aug 20, 2013

Last updated

Aug 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack A Resnick, M.D.NPI 1003894429

Title

Incorporator

Phone

(212) 832-2310

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jack Resnick, M.D.

  • Internal Medicine Physician
  • Roosevelt Island, NY
  • NPI 1003894429
  NPD (past) Authorized official
• Lisa Minsky-Primus, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1508064205
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1851724363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "address_2": "SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440190",
            "telephone_number": "212-832-2310",
            "fax_number": "212-753-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "address_2": "SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440190",
            "telephone_number": "212-832-2310",
            "fax_number": "212-753-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE AT HOME - PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "212-832-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "123754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.