| Urban Medical Group, Pllc | |
|
128 Mott St Suite 202 New York NY 10013-5540 | |
| (646) 355-3711 | |
| (212) 300-4989 |
| Full Name | Urban Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Mott St, New York, New York |
| Authorized Official Name and Position | Timothy Johnson (MD) |
| Authorized Official Contact | 6463553711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Medical Group, Pllc 128 Mott St Suite 202 New York NY 10013-5540 Ph: (646) 355-3711 | Urban Medical Group, Pllc 128 Mott St Suite 202 New York NY 10013-5540 Ph: (646) 355-3711 |
| NPI Number | 1437570256 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 12/23/2013 |
| Medicare PECOS PAC ID | 4082832282 |
|---|---|
| Medicare Enrollment ID | O20140902000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437570256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| Provider Name | Timothy C Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801895248 PECOS PAC ID: 3870528433 Enrollment ID: I20051003000263 |
| Provider Name | Yolanda Tun Chiong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083652606 PECOS PAC ID: 6901826445 Enrollment ID: I20051129001095 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |