NPIMap

Organization Active NPI

Mount Vernon Medical Practice

  • Primary Care Clinic/Center
  • New Rochelle, NY
National Provider Identifier
1033512843
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
F338574-1 Issued in NY
Legal business name
MOUNT VERNON MEDICAL PRACTICE
Practice address
175 Memorial Hwy
Suite 1-4
New Rochelle, NY 10801-5635
Phone
(914) 633-5700
Fax
(914) 633-0446
NPI assigned
Oct 7, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTOPHER ADUBOR PHYSICIAN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Ms. Carmen Mendez, FNPNPI 1760880017
Title
FNP-C
Phone
(646) 207-9934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X F338574-1 NY Primary

Addresses

Primary practice location

175 Memorial Hwy
Suite 1-4
New Rochelle, NY 10801-5635

Mailing address

175 Memorial Hwy
Suite 1-4
New Rochelle, NY 10801-5635
Phone (914) 633-5700

National Provider Directory

National Provider Directory
Tax ID family
Mount Vernon Medical Practice4 organizations share this tax ID, including this one
Part of
Mount Vernon Medical Practice

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJCEAA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1033512843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 1-4",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-5700",
            "fax_number": "914-633-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 1-4",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-5700",
            "fax_number": "914-633-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON MEDICAL PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTOPHER ADUBOR PHYSICIAN PC",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "646-207-9934",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "F338574-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.