Northern Westchester Surgical Associates, LLP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

236050 Issued in NY

Legal business name

NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP

Practice address

11 Peekskill Hollow Rd
Putnam Valley, NY 10579-3200

Phone

(845) 526-2080

Fax

(845) 526-2082

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle E Gordon, D.O.

Title

Owner

Phone

(845) 526-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premier Medical Associates of the Hudson Valley

  • Surgery Physician
  • Putnam Valley, NY
  • NPI 1558753491
  NPPES parent name

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1043331317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEEKSKILL HOLLOW RD",
            "address_2": "PO BOX 97",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793200",
            "telephone_number": "845-526-2080",
            "fax_number": "845-526-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793200",
            "telephone_number": "845-526-2080",
            "fax_number": "845-526-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-526-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "236050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "WWR251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shehla Y Naqvi, MD
• Kay S Nathanson, LCSW
• National Sleep Labs
• Neonates and Pediatrics
• Northern Westchester and Putnam Physical Therapy
• Northern Westchester-Putnam Physical Therapy PC
• Northern Westchester-Putnam Physical Therapy, PC.
• Ortho Bracing Systems LTD
• Sara-Rose Marie Ortiz
• Jason Pabon

• Surgery Physician in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.