Organization Active NPI

Westside Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1912911751
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207071 Issued in NY
Legal business name
WESTSIDE INTERNAL MEDICINE ASSOCIATES P.C.
Practice address
620 Columbus Ave FL 2
New York, NY 10024-1458
Phone
(212) 874-6600
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Iris Sherman, M.D.
Title
Billing Agent
Phone
(212) 874-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 207071 NY Primary

Addresses

Primary practice location

620 Columbus Ave FL 2
New York, NY 10024-1458

Mailing address

620 Columbus Ave FL 2
New York, NY 10024-1458
Phone (212) 874-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1912911751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COLUMBUS AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241458",
            "telephone_number": "212-874-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COLUMBUS AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241458",
            "telephone_number": "212-874-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE INTERNAL MEDICINE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "212-874-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207071",
            "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 Sep 20, 2010; 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.