Organization Active NPI

Cortlandt Endoscopy Obs LLP

  • Endoscopy Clinic/Center
  • Cortlandt Manor, NY
National Provider Identifier
1003096090
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
CORTLANDT ENDOSCOPY OBS LLP
Practice address
1985 Crompond Rd
BLDG D
Cortlandt Manor, NY 10567-4146
Phone
(914) 739-2400
Fax
(914) 739-2691
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Herman Bruce Kleinbaum, MD
Title
Physician
Phone
(914) 739-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X NY
Endoscopy Clinic/Center 261QE0800X NY Primary

Addresses

Primary practice location

1985 Crompond Rd
BLDG D
Cortlandt Manor, NY 10567-4146

Mailing address

1985 Crompond Rd
BLDG D
Cortlandt Manor, NY 10567-4146
Phone (914) 739-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003096090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND RD",
            "address_2": "BLDG D",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674146",
            "telephone_number": "914-739-2400",
            "fax_number": "914-739-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND RD",
            "address_2": "BLDG D",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674146",
            "telephone_number": "914-739-2400",
            "fax_number": "914-739-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLANDT ENDOSCOPY OBS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLEINBAUM",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-739-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.