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DIVINE MEDICAL LLC
NPI 1952920795
Clinic/Center - Primary Care in Rosedale, NY

Active since April 12, 2020
13163 233RD ST # 1, ROSEDALE, NY 11422(718) 525-3347 Get Directions Write a Review

NPPES record last updated: April 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Medical Llc NPPES

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

DIVINE MEDICAL LLC (NPI 1952920795) is a healthcare organization registered as a primary care in Rosedale, New York and active in the NPI registry since April 2020. The organization lists Augustine Umeozor, Ceo/medical Director, as its authorized official.

NPPES Registry Identity

NPI1952920795
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIVINE MEDICAL LLC
Location Address13163 233RD ST # 1Rosedale, NY 11422-1305
Mailing Address13163 233rd St # 1Rosedale, NY 11422-1305
Phone(718) 525-3347
Organization SubpartNo
Authorized OfficialAugustine UmeozorCeo/medical Director · (917) 742-2442
Enumeration DateApril 12, 2020
NPPES CertifiedApril 12, 2020
✔ NPI 1952920795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
13163 233RD ST # 1, Rosedale, NY 11422
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Other Identifiers 1

Medicaid02208982NY

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 Divine Medical LLC's NPI number?

The NPI number for Divine Medical LLC is 1952920795. It was assigned to this organization in the NPPES registry on April 12, 2020.

Where is Divine Medical LLC located?

Divine Medical LLC is located at 13163 233rd St # 1, Rosedale, NY 11422. The listed phone number is (718) 525-3347.

What is Divine Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Divine Medical LLC was last updated on April 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.