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MYLAUREL MEDICAL GROUP NY, PLLC
NPI 1477214237
General Practice in New York, NY

Active since January 04, 2022
885 3RD AVE FL 29, NEW YORK, NY 10022(917) 613-9004 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jan 13, 2023, Jan 4, 2022 (3 updates tracked since 2022).

About Mylaurel Medical Group Ny, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYLAUREL MEDICAL GROUP NY, PLLC (NPI 1477214237) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since January 2022. The organization lists Branko Kolvek, Coo, as its authorized official.

NPPES Registry Identity

NPI1477214237
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMYLAUREL MEDICAL GROUP NY, PLLC
Location Address885 3RD AVE FL 29New York, NY 10022-4834
Mailing Address885 3rd Ave Fl 29New York, NY 10022-4834 · (917) 613-9004
Phone(917) 613-9004
Organization SubpartNo
Authorized OfficialBranko KolvekCoo · (347) 497-2452
Enumeration DateJanuary 4, 2022
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1477214237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X
885 3RD AVE FL 29, New York, NY 10022
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYLAUREL MEDICAL GROUP FL, PLLC
General Practice
885 3RD AVE FL 29
NEW YORK, NY 10022
New York County (504) 475-1283
NEW SONG IPA LLC
Preferred Provider Organization
885 3RD AVE FL 29
NEW YORK, NY 10022
New York County (615) 479-5512
HERITAGE PARK OPCO LLC
Skilled Nursing Facility
885 3RD AVE FL 29
NEW YORK, NY 10022
New York County (212) 660-9700
MENDY PAXTON
Registered Nurse (Case Management)
885 3RD AVE FL 29
NEW YORK, NY 10022
New York County (304) 646-4701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mylaurel Medical Group Ny, PLLC's NPI number?

The NPI number for Mylaurel Medical Group Ny, PLLC is 1477214237. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Mylaurel Medical Group Ny, PLLC located?

Mylaurel Medical Group Ny, PLLC is located at 885 3rd Ave Fl 29, New York, NY 10022. The listed phone number is (917) 613-9004.

What is Mylaurel Medical Group Ny, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mylaurel Medical Group Ny, PLLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.