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Divine Medical LLC

Primary Care Clinic/Center in Rosedale, NY · enumerated 2020 · authorized official Augustine Umeozor, Ceo/Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952920795

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Registry record

Entity type Organization (Type 2)
Legal business name Divine Medical LLC
Practice address 13163 233rd St # 1, Rosedale, NY, 11422
Phone (718) 525-3347
Enumeration date Apr 12, 2020
Last updated in NPPES Apr 12, 2020

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Augustine Umeozor
Title Ceo/Medical Director
Phone (917) 742-2442

Other identifiers

Identifier Type State Issuer
02208982 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Divine Medical LLC?
NPPES lists Augustine Umeozor (Ceo/Medical Director) as the authorized official for this organization.
What is the NPI number for Divine Medical LLC?
The NPI for Divine Medical LLC is 1952920795, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-12.