Active NPI
Hudson Life Medical, PLLC
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1902290661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- HUDSON LIFE MEDICAL, PLLC
- Practice address
- 160 7TH Avenue S
Unit B
New York, NY 10014-2727 - Phone
- (646) 596-7386
- Fax
- (646) 850-9326
- NPI assigned
- Mar 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathann C Kuo, M.D.
- Title
- Medical Director
- Phone
- (646) 596-7386
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Neurology Physician | 2084N0400X | |||
| Surgery Physician | 208600000X | |||
| Podiatrist | 213E00000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
160 7TH Avenue S
Unit B
New York, NY 10014-2727
Mailing address
281 Broadway
2ND Floor
New York, NY 10007-1831
Phone (646) 596-7386
National Provider Directory
National Provider DirectoryLocations
1056 5th Ave
#1
New York, NY 10028
Phone (212) 348-3636
5505 Myrtle Ave
#2
Ridgewood, NY 11385
Phone (646) 535-2936
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- New York, NY
- NPI 1376145300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700092800000",
"number": "1902290661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 BROADWAY",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071831",
"telephone_number": "646-596-7386",
"fax_number": "646-360-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 7TH AVENUE S",
"address_2": "UNIT B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100142727",
"telephone_number": "646-596-7386",
"fax_number": "646-850-9326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON LIFE MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-20",
"last_updated": "2023-11-16",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "KUO",
"authorized_official_first_name": "JONATHANN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "646-596-7386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Hudson Heights Ipa, Inc.
- Hudson Heights Pediatric Speech, PLLC
- Hudson Heights Pediatrics, PC
- Hudson Heights Services, Inc
- Hudson Liberty Medical, P.C.
- Hudson Medical PC
- Hudson Medical Professional Services, P.C.
- Hudson Medical Wellness ,PLLC
- Hudson Medical Westside, PLLC
- Hudson Mental Health Counseling, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.