CHS NY MEDICAL P C (NPI# 1235514043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235514043 |
| Entity Type | Organization |
| Organization Name | CHS NY MEDICAL P C |
| Other Organization Name | LIVE WELL HEALTH CENTER |
| Practice Address |
225 Liberty St 20th Floor New York NY 10281-1008 |
| Mailing Address |
5500 Maryland Way Ste 200 Brentwood TN 37027-4948 |
| Practice Telephone | 2126357766 |
| Practice Fax Number | 2126358012 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | DR. CORNELL PEARCY (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Liberty Health Center | Doing Business As Name - Organization |
| Live Well Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487921011 | Chs Ny Medical P C | General Practice | 2 Hanson Pl, Floor 5, Brooklyn, NY 11217-1431 | 2011-11-28 |
| Street Address |
225 LIBERTY ST 20TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10281-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285177386 | Kelsey Vandergroef | Physical Therapist | 225 Liberty St, Suite 221, New York, NY 10281-1048 | 2016-11-22 |
| 1164891008 | Fatima Khan | Physical Therapist | 225 Liberty St, Suite 221, New York, NY 10281-1008 | 2015-09-22 |
| 1740679778 | Professional Orthopedic and Sports Physical Therapy PC | Clinic/Center | 225 Liberty St, Suite 221, New York, NY 10281-1008 | 2015-01-14 |
| 1760771687 | Jack A Marcheschi | Physical Therapist | 225 Liberty St, New York, NY 10281-1008 | 2011-03-31 |
| 1659603314 | Faith Teri Lukin | Nurse Practitioner | 225 Liberty St, Time Inc. Medical 04.s205, New York, NY 10281-1008 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902086853 | David B Griffith | Pharmacist | 250 Vesey St, New York, NY 10281-0002 | 2007-11-08 |
| 1134742042 | Filter Addict Inc | Home Health | 200 Vesey St Fl 24, New York, NY 10281-1004 | 2020-05-26 |
| 1790754661 | Jack Marcheschi Physical Therapy, P.C. | Physical Therapist | 2 World Financial Ctr, New York, NY 10281-1008 | 2006-03-14 |
| 1710437397 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 225 Liberty St Ste 221, New York, NY 10281-1048 | 2016-10-07 |
| 1457901670 | Ekta Trivedi | Physical Therapist | 225 Liberty St Ste 221, New York, NY 10281-1048 | 2019-09-19 |
| 1578124376 | Carlo Pena | Physical Therapist | 225 Liberty St Ste 221, New York, NY 10281-1048 | 2019-06-24 |
| 1558996785 | One Medical of Ny, P.C. | Internal Medicine | 250 Vesey St, New York, NY 10281-1052 | 2020-03-09 |
| 1346340791 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Liberty Street, Suite 1, New York, NY 10281-4301 | 2006-09-25 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1538651385 | Caroline Roberta Campbell | General Practice | 129 W 81st St Apt 3, New York, NY 10024-7207 | 2018-06-06 |
| 1104317973 | Michael Stavis Bohl | General Practice | 235 W 48th St Apt 34a, New York, NY 10036-1431 | 2018-05-28 |
| 1841793015 | Xin He | General Practice | 60 W 75th St Lowr Level, New York, NY 10023-2016 | 2018-03-14 |
| 1811497381 | James Uhrig | General Practice | 316 W 84th St Apt 6g, New York, NY 10024-4249 | 2018-02-20 |
| 1730607391 | Ruben Osvaldo Garcia | General Practice | 400 E 52nd St Apt 12j, New York, NY 10022-6407 | 2017-09-05 |
| 1992231294 | Paul Promadhattvedi | General Practice | 255 Fort Washington Ave Apt 41, New York, NY 10032-1252 | 2017-05-04 |
| 1407381486 | Taber Cloey Lightbourne | General Practice | 1051 Riverside Drive, Box 103, New York, NY 10032 | 2017-04-27 |
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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.