ADVANCED PREVENTIVE MEDICINE – NPI #1497240683
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ADVANCED PREVENTIVE MEDICINE is a provider located in BRONX, NY. NPPES has assigned the NPI number 1497240683 to ADVANCED PREVENTIVE MEDICINE on June 29, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED PREVENTIVE MEDICINE” is a dba name, the actual legal business name for this organization is SHINING LIGHT FAMILY HEALTH NP PC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Aug 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED PREVENTIVE MEDICINE below.

NPI Profile for
SHINING LIGHT FAMILY HEALTH NP PC

NPI Number
1497240683
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHINING LIGHT FAMILY HEALTH NP PC
Doing Business As (dba): ADVANCED PREVENTIVE MEDICINE
Primary location
1030 SHERIDAN AVE
BRONX, NY 10456
Phone: (516) 971-1824 Fax:
Mailing address
5030 BROADWAY STE 818
NEW YORK, NY 10034-1670
Phone: (212) 567-4931 Fax:
Organization Subpart
No
Authorized Official
LIDIA VIRGIL
PRESIDENT/CEO
Phone: (516) 971-1824
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.