Organization Active NPI

The Cosmopolitan Medical Practice, PLLC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1992209746
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
268901 Issued in NY
Legal business name
THE COSMOPOLITAN MEDICAL PRACTICE, PLLC
Practice address
40 Park Ave Ste 1
New York, NY 10016-3467
Phone
(212) 545-0400
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Robin McKinney, DO
Title
Principal
Phone
(212) 545-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 268901 NY Primary

Addresses

Primary practice location

40 Park Ave Ste 1
New York, NY 10016-3467

Mailing address

40 Park Ave Ste 1
New York, NY 10016-3467

National Provider Directory

National Provider Directory

Locations

222 W 116th St
New York, NY 10026
Phone (212) 222-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1992209746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163467",
            "telephone_number": "212-545-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COSMOPOLITAN MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "212-545-0400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "268901",
            "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 Mar 19, 2018; 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.