Active NPI
Nightwater Health of New York, PC
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NIGHTWATER HEALTH OF NEW YORK, PC
- Practice address
- 501 5TH Ave RM 1203
New York, NY 10017-7872 - Phone
- (917) 620-2633
- Fax
- (504) 617-6371
- NPI assigned
- Dec 1, 2022
- Last updated
- Jan 11, 2023
- 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. Paul Ikemire, MD
- Title
- Ceo
- Phone
- (504) 717-3050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
501 5TH Ave RM 1203
New York, NY 10017-7872
Mailing address
1 Blackford Dr
Exeter, NH 03833-4623
Phone (504) 717-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320401-01 | Other | NY | NY BOARD OF MEDICINE |
National Provider Directory
National Provider DirectoryLocations
121 E 60th St
Apt 2D
New York, NY 10022
Phone (504) 717-3050
501 5th Ave
Rm 1203
New York, NY 10017
Phone (212) 992-9030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- New Orleans, LA
- NPI 1477870210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1962112938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BLACKFORD DR",
"city": "EXETER",
"state": "NH",
"postal_code": "038334623",
"telephone_number": "504-717-3050",
"fax_number": "504-617-6371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 5TH AVE RM 1203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100177872",
"telephone_number": "917-620-2633",
"fax_number": "504-617-6371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIGHTWATER HEALTH OF NEW YORK, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "IKEMIRE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-717-3050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY BOARD OF MEDICINE",
"identifier": "320401-01",
"state": "NY"
}
],
"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 Jan 11, 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.