Phelps Faculty Medical Affiliates University Faculty Practice Corpor

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PHELPS FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR

Practice address

701 N Broadway
Sleepy Hollow, NY 10591-1020

Phone

(914) 366-3000

Fax

(914) 366-1017

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Sharlene Bronstorph

Title

Director

Phone

(516) 850-3999

Specialties & licenses 1

Addresses

Tax ID family

Phelps Faculty Medical Affiliates University Faculty Practice Corpor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phelps Faculty Medical Affiliates University Faculty Practice Corpor

  • Pediatrics Physician
  • Nanuet, NY
  • NPI 1912853722
  NPD tax ID

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1023854130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3000",
            "fax_number": "914-366-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3000",
            "fax_number": "914-366-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "BRONSTORPH",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-850-3999"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Perez-Tobon, LCSW
• Jenny Martina Persson, LMHC
• Jonathan Pesantez
• Harry L Phelps 111, PHARMD
• Phelps Cardiovascular PC
• Phelps Imaging Services,P.C
• Phelps Medical Services, PC
• Phelps Memoria Hospital Center
• Phelps Memorial Hospital
• Phelps Memorial Hospital

• Physician Assistant in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.