FIFTH AVENUE MEDICAL ASSOCIATES, LLC (NPI# 1083069439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083069439 |
Entity Type | Organization |
Organization Name | FIFTH AVENUE MEDICAL ASSOCIATES, LLC |
Other Organization Name | BENY J. PRIMM MEDICAL GROUP, LLC |
Practice Address |
745 5th Ave Suite 500 New York NY 10151-0099 |
Practice Telephone | 6468982037 |
Mailing Telephone | 6468982037 |
Enumeration Date | 2016-05-03 |
Last Update Date | 2018-11-19 |
Authorized Official Name | CHARLES Y JIN (MEMBER) |
Authorized Official Telephone | 6468982037 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
101838 | NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02216131 | 05 |
Other Name | Type Code |
---|---|
Beny J. Primm Medical Group, LLC | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | FIFTH AVENUE MEDICAL ASSOCIATES, LLC | 200 Park Avenue, 17th Floor, New York, Ny 10166 |
Street Address |
745 5TH AVE SUITE 500 |
City | NEW YORK |
State | NY |
Zip Code | 10151-0099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356417893 | Phillip E Romero | Psychiatry & Neurology | 745 5th Ave, Suite 500, New York, NY 10151-0099 | 2006-11-27 |
1124148200 | James Lawrence Verna | Dentist | 745 5th Ave, Suite 1405, New York, NY 10151-0099 | 2007-03-30 |
1285764191 | Alexander Tsui | Dentist | 745 5th Ave, Suite 1405, New York, NY 10151-0099 | 2007-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851867824 | Hannah Whitman | Counselor | 4668 Hidden Pond Drive, Allison Park, PA 10151 | 2018-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689490 | Rebecca Papa | Speech-Language Pathologist | 219 E 66th St Apt 2a, New York, NY 10065-6430 | 2020-11-08 |
1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
1154922920 | Lamarr-renee Eanes | Doula | 116 W 72nd St Apt 3a, New York, NY 10023-3323 | 2020-11-06 |
1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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---|---|---|---|---|
1497128052 | Dr. Anzhela Dvorkina M.d. Pa | Clinic/Center | 244 5th Ave Ste 2631, New York, NY 10001-7604 | 2015-11-04 |
1740652163 | Sv Medical Care Pllc | Clinic/Center | 65 Broadway Ste 1103, New York, NY 10006-2525 | 2015-10-25 |
1679994347 | Transformative Medical Health Nyc Pllc | Clinic/Center | 150 Broadway Rm 1115, New York, NY 10038-4375 | 2013-12-26 |
1013358290 | Cristopher Pajaro Santos | Clinic/Center | 408 W 130th St Apt 16, New York, NY 10027-7532 | 2013-07-16 |
1255774766 | Dr. Jm Da Silva Psychologist PC | Clinic/Center | 68 Laight St Apt 7, New York, NY 10013-2049 | 2013-04-15 |
1710233283 | Buymenowproperties LLC | Clinic/Center | 202 W 102nd St, Apt # 3ef, New York, NY 10025-8700 | 2012-08-02 |
1336494988 | Millennium Facial Plastic Surgery, Pllc | Clinic/Center | 132 E 76th St Ofc 2b, New York, NY 10021-2850 | 2012-07-19 |
1679828792 | Hotel Trades | Clinic/Center | 420 E 102nd St, Suite 2p, New York, NY 10029-5862 | 2012-07-15 |
1730463183 | Chungdam Wellness Group,inc | Clinic/Center | 315 5th Ave Ste 1001, New York, NY 10016-6510 | 2011-10-04 |
1275840399 | Alignment Chiropractic Nyc Pllc | Clinic/Center | 109 W 38th St Fl 10, New York, NY 10018-3615 | 2010-09-10 |
Find all providers in NEW YORK |
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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.