Organization · NPI-2

515 Madison Medical PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · New York, NY

NPI number1932977840
StatusActive
Last updated in NPPESApr 22, 2025

Details

NPI
1932977840
Entity type
Organization (NPI-2)
Legal business name
515 Madison Medical PLLC
Organization subpart
No
Enumeration date
Dec 20, 2023
Certification date
Apr 22, 2025
Last updated
Apr 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Nushama (Doing Business As)
  • 515 Madison Medical PLLC- Dba Nushama (Doing Business As)

Practice location

515 Madison Ave Fl 21
New York, NY 10022-5433

Phone 646-394-9996

Mailing address

515 Madison Ave Fl 21
New York, NY 10022-5433

Phone 646-394-9996

Other practice locations

200 E Eckerson Rd Ste 280
New City, NY 10956-7154

Phone 646-394-9996

Authorized official

Steven Radowitz
Chief Medical Officer- Owner
9172705404

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in New York, NY