NPIMap

Organization Active NPI

Cardiac Surgery Group, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Valhalla, NY
National Provider Identifier
1013928266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CARDIAC SURGERY GROUP, PC
Practice address
Westchester Medical Center
95 Grasslands Rd, Macy Pavilion Room W128
Valhalla, NY 10595
Phone
(914) 493-7676
Fax
(914) 493-1793
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy Trudeau
Title
Office Manager
Phone
(914) 493-8665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

Westchester Medical Center
95 Grasslands Rd, Macy Pavilion Room W128
Valhalla, NY 10595

Mailing address

PO Box 434
Elmsford, NY 10523-0434
Phone (914) 493-8665

National Provider Directory

National Provider Directory

Locations

95 Grasslands Rd
Rm W128
Valhalla, NY 10595
Phone (914) 493-7676

Practitioners & affiliated clinicians

Practitioners 10

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013928266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105230434",
            "telephone_number": "914-493-8665",
            "fax_number": "914-493-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTCHESTER MEDICAL CENTER",
            "address_2": "95 GRASSLANDS RD, MACY PAVILION ROOM W128",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7676",
            "fax_number": "914-493-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC SURGERY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUDEAU",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-493-8665"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.