RESIDE HEALTH MEDICAL GROUP, PLLC (NPI# 1295341535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295341535 |
| Entity Type | Organization |
| Organization Name | RESIDE HEALTH MEDICAL GROUP, PLLC |
| Practice Address |
520 Broadway Fl 4 New York NY 10012-4436 |
| Practice Telephone | 2015034651 |
| Mailing Telephone | 2015034651 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | KOMAL KOTHARI (PHYSICIAN MEMBER) |
| Authorized Official Telephone | 2015034651 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
520 BROADWAY FL 4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
| Find all providers in zip 10012 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| 1558971929 | New Jersey Birdie Health PC | Internal Medicine | 330 E 38th St Apt 15c, New York, NY 10016-2769 | 2020-07-31 |
| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
| 1891319810 | Careathome Medical Practice, PC | Internal Medicine | 287 Park Ave S Fl 3, New York, NY 10010-4573 | 2020-06-05 |
| 1487276473 | Alinea Medical Associates PC | Internal Medicine | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 |
| 1336770973 | Alyson R Pidich Md PC | Internal Medicine | 800a 5th Ave Ste 205, New York, NY 10065-7215 | 2020-02-02 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on RESIDE HEALTH MEDICAL GROUP, PLLC.
| 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.