NPIMap

Organization Active NPI

NC Medical of Ny PC

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1992257034
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
NC MEDICAL OF NY PC
Practice address
1221 Avenue of the Americas RM 50073
New York, NY 10020-1001
Phone
(212) 819-8955
NPI assigned
Oct 25, 2016
Organization subpart
Yes
Parent organization
NC MEDICAL OF NY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Terry Layman, DR.
Title
Sr. VP Corporate Medical Director
Phone
(377) 522-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1221 Avenue of the Americas RM 50073
New York, NY 10020-1001

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (802) 857-0400

Other names 2

  • Marathon Health @ White & Case Other name
  • White & Case Wellness Center Other name

National Provider Directory

National Provider Directory
Tax ID family
NC Medical of Ny PC6 organizations share this tax ID, including this one
Part of
NC Medical of Ny PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1155 Avenue of the Americas
Ste 1600
New York, NY 10036

1221 Avenue of the Americas
Rm 50073
New York, NY 10020
Phone (212) 819-8955

Practitioners & affiliated clinicians

Practitioners 2

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1992257034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 AVENUE OF THE AMERICAS RM 50073",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201001",
            "telephone_number": "212-819-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC MEDICAL OF NY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NC MEDICAL OF NY PC",
        "enumeration_date": "2016-10-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "SR. VP CORPORATE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "377-522-0844",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Health @ White & Case",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "White & Case Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 1, 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.

Verify at the official NPI Registry.