RESIDE HEALTH MEDICAL GROUP, PLLC

Address: 520 Broadway Fl 4, New York, NY 10012-4436
Phone: 2015034651

RESIDE HEALTH MEDICAL GROUP, PLLC (NPI# 1295341535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295341535
Entity Type Organization
Organization Name RESIDE HEALTH MEDICAL GROUP, PLLC
Practice Address 520 Broadway Fl 4
New York
NY 10012-4436
Practice Telephone 2015034651
Mailing Telephone 2015034651
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Authorized Official Name KOMAL KOTHARI (PHYSICIAN MEMBER)
Authorized Official Telephone 2015034651
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 520 BROADWAY FL 4
City NEW YORK
State NY
Zip Code 10012-4436

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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1295348019 Vault Medical Group Pa Internal Medicine 133 E 58th St Ste 512, New York, NY 10022-1145 2020-08-31
1205447745 Princeton Longevity Medical of New York Pllc Internal Medicine 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 2020-08-10
1558971929 New Jersey Birdie Health PC Internal Medicine 330 E 38th St Apt 15c, New York, NY 10016-2769 2020-07-31
1972112456 Daniel William Fitzgerald Internal Medicine 402 E 67th St Fl 2, New York, NY 10065-6304 2020-07-30
1346858222 Sowell Health PC Internal Medicine 308 E 38th St Ste 200, New York, NY 10016-9825 2020-07-16
1417574062 Bob Yeon Shim Internal Medicine 330 W 145th St Apt 605, New York, NY 10039-3095 2020-06-30
1891319810 Careathome Medical Practice, PC Internal Medicine 287 Park Ave S Fl 3, New York, NY 10010-4573 2020-06-05
1487276473 Alinea Medical Associates PC Internal Medicine 205 E 69th St Apt 1b, New York, NY 10021-5437 2020-05-12
1336770973 Alyson R Pidich Md PC Internal Medicine 800a 5th Ave Ste 205, New York, NY 10065-7215 2020-02-02
1366082166 Gonzalez Tamayo Medical Center Internal Medicine 435 Fort Washington Ave Ste 1g1h, New York, NY 10033-3506 2020-01-09
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Competitor

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City NEW YORK
Zip Code 10012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.