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UPPER WEST SIDE MEDICAL DOCTOR PLLC
NPI 1912417254
Clinic/Center in New York, NY

Active since September 30, 2017
46 W 86TH ST STE 1A, NEW YORK, NY 10024(908) 962-1000(908) 962-1000 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Upper West Side Medical Doctor Pllc NPPES

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

UPPER WEST SIDE MEDICAL DOCTOR PLLC (NPI 1912417254) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since September 2017. The organization lists Bhavana Kranthi, Owner, as its authorized official.

NPPES Registry Identity

NPI1912417254
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameUPPER WEST SIDE MEDICAL DOCTOR PLLC
Location Address46 W 86TH ST STE 1ANew York, NY 10024-3633
Mailing Address46 W 86th StNew York, NY 10024-3633 · (732) 429-6513 · Fax (917) 472-1525
Phone(908) 962-1000
Fax(908) 962-1000
Organization SubpartNo
Authorized OfficialBhavana KranthiOwner · (732) 429-6513
Enumeration DateSeptember 30, 2017
Last NPPES UpdateDecember 5, 2017
✔ NPI 1912417254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
46 W 86TH ST STE 1A, New York, NY 10024
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Other Identifiers 1

Other287857NY · Ny State License

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 Upper West Side Medical Doctor PLLC's NPI number?

The NPI number for Upper West Side Medical Doctor PLLC is 1912417254. It was assigned to this organization in the NPPES registry on September 30, 2017.

Where is Upper West Side Medical Doctor PLLC located?

Upper West Side Medical Doctor PLLC is located at 46 W 86th St Ste 1A, New York, NY 10024. The listed phone number is (908) 962-1000.

What is Upper West Side Medical Doctor PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Upper West Side Medical Doctor PLLC was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.