Active NPI
Everwell Medical P.C.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1922326263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 237043
- Legal business name
- EVERWELL MEDICAL P.C.
- Practice address
- 839 58TH St
2ND Floor
Brooklyn, NY 11220-3679 - Phone
- (718) 686-6889
- Fax
- (718) 686-6877
- NPI assigned
- May 11, 2010
- 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
- Mr. Andy K Hu, M.D., M.P.H.
- Title
- President
- Phone
- (718) 730-2530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 237043 | NY | Primary |
Addresses
Primary practice location
839 58TH St
2ND Floor
Brooklyn, NY 11220-3679
Mailing address
839 58TH St
2ND Floor
Brooklyn, NY 11220-3679
Phone (718) 686-6889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02716549 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1922326263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 58TH ST",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203679",
"telephone_number": "718-686-6889",
"fax_number": "718-686-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 58TH ST",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203679",
"telephone_number": "718-686-6889",
"fax_number": "718-686-6877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERWELL MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "HU",
"authorized_official_first_name": "ANDY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-730-2530",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D., M.P.H."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "237043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02716549",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.