Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divine Medical LLC

Organization Primary Care Clinic/Center · NPI 1952920795

Divine Medical LLC is a Primary Care Clinic/Center in Rosedale, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13163 233rd St # 1
Rosedale, NY 11422-1305
Phone: (718) 525-3347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1952920795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Augustine Umeozor — Ceo/Medical Director · (917) 742-2442
NPI enumeratedApril 12, 2020
Last updated in NPPESApril 12, 2020
Certification dateApril 12, 2020
Mailing address13163 233rd St # 1, Rosedale, NY 11422-1305