Central Oaks Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

220274 Issued in NY

Legal business name

CENTRAL OAKS MEDICAL ASSOCIATES, PC

Practice address

205 E 76TH St
Suite M-2
New York, NY 10021-2147

Phone

(212) 737-3382

Fax

(212) 737-3392

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ommer Khaw, M.D.NPI 1134190986

Title

Physician

Phone

(212) 737-3382

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.

• Ommer Khaw, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1134190986
  NPD (past) Authorized official
• Aramis Ewon Santiago, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1033219571
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942354105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST",
            "address_2": "SUITE M-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-737-3382",
            "fax_number": "212-737-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST",
            "address_2": "SUITE M-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-737-3382",
            "fax_number": "212-737-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OAKS MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAW",
        "authorized_official_first_name": "OMMER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-737-3382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220274",
            "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 22, 2020; 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.