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  7. NPI Record 1639127913

SLR FPP UNIVERSITY MEDICAL PRACTICE ASSOCIATES
Complete NPI Record 1639127913
Internal Medicine in New York, NY

NPI Status: Active since May 05, 2006

Contact Information

1111 AMSTERDAM AVE
NEW YORK, NY
ZIP 10025
Phone: (212) 315-0144
Fax: (212) 315-0196

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Second Line Business Mailing Address
  9. Provider Business Mailing Address City Name
  10. Provider Business Mailing Address State Name
  11. Provider Business Mailing Address Postal Code
  12. Provider Business Mailing Address Country Code If outside U S
  13. Provider Business Mailing Address Telephone Number
  14. Provider Business Mailing Address Fax Number
  15. Provider First Line Business Practice Location Address
  16. Provider Business Practice Location Address City Name
  17. Provider Business Practice Location Address State Name
  18. Provider Business Practice Location Address Postal Code
  19. Provider Business Practice Location Address Country Code If outside U S
  20. Provider Business Practice Location Address Telephone Number
  21. Provider Business Practice Location Address Fax Number
  22. Provider Enumeration Date
  23. Last Update Date
  24. Authorized Official Last Name
  25. Authorized Official First Name
  26. Authorized Official Title or Position
  27. Authorized Official Telephone Number
  28. Healthcare Provider Taxonomy Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Healthcare Provider Taxonomy Code 2
  31. Healthcare Provider Primary Taxonomy Switch 2
  32. Healthcare Provider Taxonomy Code 3
  33. Healthcare Provider Primary Taxonomy Switch 3
  34. Healthcare Provider Taxonomy Code 4
  35. Healthcare Provider Primary Taxonomy Switch 4
  36. Healthcare Provider Taxonomy Code 5
  37. Healthcare Provider Primary Taxonomy Switch 5
  38. Healthcare Provider Taxonomy Code 6
  39. Healthcare Provider Primary Taxonomy Switch 6
  40. Healthcare Provider Taxonomy Code 7
  41. Healthcare Provider Primary Taxonomy Switch 7
  42. Healthcare Provider Taxonomy Code 8
  43. Healthcare Provider Primary Taxonomy Switch 8
  44. Healthcare Provider Taxonomy Code 9
  45. Healthcare Provider Primary Taxonomy Switch 9
  46. Healthcare Provider Taxonomy Code 10
  47. Healthcare Provider Primary Taxonomy Switch 10
  48. Healthcare Provider Taxonomy Code 11
  49. Healthcare Provider Primary Taxonomy Switch 11
  50. Healthcare Provider Taxonomy Code 12
  51. Healthcare Provider Primary Taxonomy Switch 12
  52. Healthcare Provider Taxonomy Code 13
  53. Healthcare Provider Primary Taxonomy Switch 13
  54. Healthcare Provider Taxonomy Code 14
  55. Healthcare Provider Primary Taxonomy Switch 14
  56. Other Provider Identifier 1
  57. Other Provider Identifier Type Code 1
  58. Other Provider Identifier Issuer 1
  59. Other Provider Identifier 2
  60. Other Provider Identifier Type Code 2
  61. Other Provider Identifier State 2
  62. Other Provider Identifier 3
  63. Other Provider Identifier Type Code 3
  64. Other Provider Identifier State 3
  65. Is Organization Subpart
  66. Authorized Official Name Prefix Text
  67. Healthcare Provider Taxonomy Group 1
  68. Healthcare Provider Taxonomy Group 2
  69. Healthcare Provider Taxonomy Group 3
  70. Healthcare Provider Taxonomy Group 4
  71. Healthcare Provider Taxonomy Group 5
  72. Healthcare Provider Taxonomy Group 6
  73. Healthcare Provider Taxonomy Group 7
  74. Healthcare Provider Taxonomy Group 8
  75. Healthcare Provider Taxonomy Group 9
  76. Healthcare Provider Taxonomy Group 10
  77. Healthcare Provider Taxonomy Group 11
  78. Healthcare Provider Taxonomy Group 12
  79. Healthcare Provider Taxonomy Group 13
  80. Healthcare Provider Taxonomy Group 14

Complete NPI Dataset

This page represents the complete record for NPI 1639127913. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1639127913
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: UNIVERSITY MEDICAL PRACTICE ASSOCIATES
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 4
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 1790 BROADWAY
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing Address: 3RD FLOOR
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City Name: NEW YORK
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 100191412
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 2123150144
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 2123150196
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 1111 AMSTERDAM AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: NEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NY
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 100251716
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 2123150144
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 2123150196
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/5/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 12/18/2009
The date that a record was last updated or changed.
Authorized Official Last Name: JOSEPH
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: NIGEL
The first name of the authorized official.
Authorized Official Title or Position: VP,OPERATIONS
The title or position of the authorized official.
Authorized Official Telephone Number: 2123150144
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207RC0000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207RC0001X
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207RC0200X
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207RE0101X
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 207RG0100X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 207RG0300X
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 207RI0011X
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 207RI0200X
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 207RN0300X
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 207RP1001X
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 207RR0500X
Healthcare Provider Primary Taxonomy Switch 11: N
Healthcare Provider Taxonomy Code 12: 207UN0901X
Healthcare Provider Primary Taxonomy Switch 12: N
Healthcare Provider Taxonomy Code 13: 208M00000X
Healthcare Provider Primary Taxonomy Switch 13: N
Healthcare Provider Taxonomy Code 14: 207R00000X
Healthcare Provider Primary Taxonomy Switch 14: Y
Other Provider Identifier 1: 004725
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier Issuer 1: ADAERP
Other Provider Identifier 2: 6995501
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 2: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2: NJ
Other Provider Identifier 3: 01898631
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 3: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3: NY
Is Organization Subpart: N
Authorized Official Name Prefix Text: MR.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 12: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 13: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 14: 193200000X MULTI-SPECIALTY GROUP