Dr Andrew Decker M D P C

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

187812 Issued in NY

Legal business name

DR ANDREW DECKER M D P C

Practice address

322 Underhill Ave
Yorktown, NY 10598

Phone

(914) 245-2818

Fax

(914) 245-2794

NPI assigned

Oct 15, 2007

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrew D. Decker, M.D., PC

Title

Owner

Phone

(914) 245-2818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033308135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 UNDERHILL AVE",
            "city": "YORKTOWN",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-245-2818",
            "fax_number": "914-245-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 UNDERHILL AVE",
            "city": "YORKTOWN",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-245-2818",
            "fax_number": "914-245-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREW DECKER M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-245-2818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D., PC"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "187812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.