RED ROAD MEDICAL PC
Nurse Practitioner (Family)

Address: 317 W 54th St Apt D, New York, NY 10019-7504

RED ROAD MEDICAL PC (NPI# 1649850629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649850629
Entity Type Organization
Organization Name RED ROAD MEDICAL PC
Practice Address 317 W 54th St Apt D
New York
NY 10019-7504
Practice Telephone 2127871877
Mailing Address 317 W 54th St Apt D
New York
NY 10019-7504
Mailing Telephone 2127871877
Certification Date 2021-04-15
Enumeration Date 2021-04-13
Last Update Date 2021-04-15
Authorized Official Telephone 5167298606
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LF0000X Nurse Practitioner
Specialization: Family
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 317 W 54TH ST APT D
City NEW YORK
State NY
Zip Code 10019-7504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407930340 Richard Harris Klein Chiropractor 317 W 54th St Apt E, New York, NY 10019-7504 2006-10-25

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1497391486 Central Park Gyn Obstetrics & Gynecology - Gynecology 233 W 58th Street, New York, NY 10019 2019-11-25
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1144882499 Tomohiro Fujisaki Student in an Organized Health Care Education/Training Program 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 2019-07-07
1558823070 Nazanin Khajoueinejad Student in an Organized Health Care Education/Training Program 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 2019-04-03
1356801153 Nicholas Theodoropoulos Student in an Organized Health Care Education/Training Program 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 2019-03-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134700727 Rachel Zelman Nurse Practitioner - Family 40 W 86th St Apt 2a, New York, NY 10024-3605 2021-04-15
1568048445 Jessika Helena Widerman Nurse Practitioner - Family 1 West St Apt 2425, New York, NY 10004-1028 2021-03-22
1104401314 Alexandra Ayoub Nurse Practitioner - Family 77 Bleecker St Apt 924e, New York, NY 10012-1555 2021-03-10
1174117055 Edna Mascreen Nurse Practitioner - Family 130 E 77th St Fl 1, New York, NY 10075-1851 2021-02-22
1083207062 Meaghan Brosnan Nurse Practitioner - Family 161 Fort Washington Ave Fl 3, New York, NY 10032-3729 2021-02-19
1962095133 Marissa Barnes Nurse Practitioner - Family 110 E 60th Street, Suite 500, New York, NY 10022-1694 2021-02-18
1003409731 Woon Yee Wu Nurse Practitioner - Family 530 First Avenue, Hcc Suite 4h, New York, NY 10016 2021-02-13
1003405697 Gabrielle Luisa Basile Nurse Practitioner - Family 21 W 19th St, New York, NY 10011-4208 2021-01-18
1801498084 Samya Ismail Nurse Practitioner - Family 301 East 47, 12f, New York, NY 10017 2020-11-12
1134726540 Alison Anne Avallone Nurse Practitioner - Family 425 E 80th St Apt 6d, New York, NY 10075-0613 2020-10-08
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City NEW YORK
Zip Code 10019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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