Organization Active NPI

River Side Medical Care PLLC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1902164130
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
153743 Issued in NY
Legal business name
RIVER SIDE MEDICAL CARE PLLC
Practice address
185 187 East 117 Street
New York, NY 10035-0000
Phone
(914) 830-8426
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Okon Umana, MDNPI 1972670693
Title
President
Phone
(914) 830-8426

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 153743 NY Primary

Addresses

Primary practice location

185 187 East 117 Street
New York, NY 10035-0000

Mailing address

185 187 East 117 Street
New York, NY 10035-0000
Phone (914) 830-8426

National Provider Directory

National Provider Directory

Locations

177 E 117th St
New York, NY 10035
Phone (914) 830-8426

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1902164130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 187 EAST 117 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100350000",
            "telephone_number": "914-830-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 187 EAST 117 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100350000",
            "telephone_number": "914-830-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER SIDE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "UMANA",
        "authorized_official_first_name": "OKON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-830-8426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "153743",
            "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 11, 2012; 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.