Organization Active NPI

Hospital Emergency Licensed Physicians

  • Emergency Medicine Physician
  • Cornwall, NY
National Provider Identifier
1013180942
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
HOSPITAL EMERGENCY LICENSED PHYSICIANS
Practice address
19 Laurel Ave
Cornwall, NY 12518-1403
Phone
(845) 534-7711
NPI assigned
Apr 11, 2008
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Gerald A Neri, MD
Title
Pres
Phone
(845) 565-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

19 Laurel Ave
Cornwall, NY 12518-1403

Mailing address

484 Temple Hill Rd
Ste 102
New Windsor, NY 12553-5557
Phone (845) 565-3700

Other identifiers 1

IdentifierTypeStateIssuer
01108901MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1013180942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "STE 102",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAUREL AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181403",
            "telephone_number": "845-534-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL EMERGENCY LICENSED PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "NERI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "845-565-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01108901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.