URBAN MEDICAL GROUP, PLLC (NPI# 1437570256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437570256 |
| Entity Type | Organization |
| Organization Name | URBAN MEDICAL GROUP, PLLC |
| Practice Address |
128 Mott St Suite 202 New York NY 10013-5540 |
| Practice Telephone | 6463553711 |
| Practice Fax Number | 2123004989 |
| Mailing Telephone | 6463553711 |
| Mailing Fax Number | 2123004989 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-23 |
| Authorized Official Name | DR. TIMOTHY JOHNSON (MD) |
| Authorized Official Telephone | 6463553711 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
128 MOTT ST SUITE 202 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860461 | Daniel H Cheng | Physical Medicine & Rehabilitation | 128 Mott St, Ste 301, New York, NY 10013-5575 | 2005-06-09 |
| 1548613250 | Mee Jeong Ka | Nurse Practitioner | 128 Mott St, Suite 607, New York, NY 10013-5540 | 2016-07-18 |
| 1740637354 | American Pharmacy II Inc | Pharmacy | 128 Mott St, G/f Unit 102b, New York, NY 10013-5540 | 2016-05-24 |
| 1033565221 | Dr.dennis Medical P.C. | Obstetrics & Gynecology | 128 Mott St, Suite 401, New York, NY 10013-5540 | 2016-05-06 |
| 1942687751 | Le Ding | Pediatrics | 128 Mott St, Suite 501, New York, NY 10013-5540 | 2015-04-30 |
| 1952713463 | Richard Myint, D.o., P.C. | Internal Medicine | 128 Mott St, Suite 203, New York, NY 10013-5540 | 2014-06-02 |
| 1669891339 | Lena Tung | Physician Assistant | 128 Mott St, Suite 202, New York, NY 10013-5540 | 2014-04-10 |
| 1679994271 | Spencer T Moy Od Pllc | Optometrist | 128 Mott St, Ste. 303, New York, NY 10013-5540 | 2013-12-27 |
| 1356685077 | Doris U Tan M D P C | Obstetrics & Gynecology | 128 Mott St, Suite 601, New York, NY 10013-5540 | 2012-11-19 |
| 1326396284 | Larissa Magness Fopeano | Physician Assistant | 128 Mott St, Suite 202, New York, NY 10013-5540 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 1396359642 | Marlene Aquino | Family Medicine | 252 E 4th St Apt 2d, New York, NY 10009-7538 | 2020-09-03 |
| 1164043378 | Weber Medical Care Pllc | Family Medicine | 10 Rutgers St Apt 4l, New York, NY 10002-7167 | 2020-04-28 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1770111429 | Live Life Now Health Group Pa | Family Medicine | 350 7th Ave, New York, NY 10001-5013 | 2020-03-30 |
| 1235762899 | 121 Medical P.C. | Family Medicine | 5030 Broadway Ste 818, New York, NY 10034-1670 | 2020-02-21 |
| 1558992206 | Juno Medical Practice, Pllc | Family Medicine | 2119 Frederick Douglass Blvd, New York, NY 10026-2392 | 2020-01-31 |
| 1912567884 | Chinatown True Care Medical Pllc | Family Medicine | 139 Centre St Ste 711, New York, NY 10013-4557 | 2019-06-13 |
| 1295205201 | Mary Scanlon-o'kelly | Family Medicine | 30 West St Apt 2a, New York, NY 10004-3052 | 2018-12-03 |
| 1932691532 | Tala Fanek | Family Medicine | 622 W 168th St Ph 12-1272, New York, NY 10032-3720 | 2018-05-31 |
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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.