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139 MEDICAL P.C. NPI 1790076370


NPI Information

NPI: 1790076370
Provider Name: 139 MEDICAL P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
139 CENTRE ST
SUITE 618
NEW YORK, NY
ZIP 10013
Phone: (212) 925-4993
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139 MEDICAL P.C. is a pediatrics in New York, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. 139 MEDICAL P.C. NPI is 1790076370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

139 CENTRE ST
SUITE 618
NEW YORK, NY
ZIP 10013-552
Phone: (212) 925-4993
Fax: (212) 925-4665

The provider's authorized official is Ka Li .
The authorized official title is Medical Provider and has the following contact phone number (212) 925-4993.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 12/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics214391NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H04646MEDICARE UPINNEW YORK
2568611MEDICARE PIN
302010557MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.