RED ROAD MEDICAL PC
NPI 1649850629
Nurse Practitioner - Family in New York, NY

Q: What is Red Road Medical PC's NPI number?

The NPI number for Red Road Medical PC is 1649850629. It was assigned to this organization in the NPPES registry on April 13, 2021.

Q: What is Red Road Medical PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 13, 2021

317 W 54TH ST APT D, NEW YORK, NY 10019(212) 787-1877 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Red Road Medical Pc NPPES

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

RED ROAD MEDICAL PC (NPI 1649850629) is a healthcare organization registered as a family in New York, New York and active in the NPI registry since April 2021. The organization lists Kellie Carey, Manager, as its authorized official.

NPPES Registry Identity

NPI1649850629

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameRED ROAD MEDICAL PC

Location Address317 W 54TH ST APT DNew York, NY 10019-7504

Mailing Address317 W 54th St Apt DNew York, NY 10019-7504 · (212) 787-1877

Phone(212) 787-1877

Organization SubpartNo

Authorized OfficialKellie CareyManager · (516) 729-8606

Enumeration DateApril 13, 2021

Last NPPES UpdateApril 15, 2021

NPPES CertifiedApril 15, 2021

✔ NPI 1649850629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

317 W 54TH ST APT D, New York, NY 10019

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Group Practice 1

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

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

TIMOTHY JOHN MORLEY MD

Internal Medicine

317 W 54TH ST APT D
NEW YORK, NY 10019

New York County (212) 399-7000

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 Red Road Medical PC's NPI number?

The NPI number for Red Road Medical PC is 1649850629. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Red Road Medical PC located?

Red Road Medical PC is located at 317 W 54th St Apt D, New York, NY 10019. The listed phone number is (212) 787-1877.

What is Red Road Medical PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Red Road Medical PC was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.