Active NPI
Sleepy Hollow Medical Group@Phelps
- Obstetrics & Gynecology Physician
- Sleepy Hollow, NY
National Provider Identifier
1063580249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SLEEPY HOLLOW MEDICAL GROUP@PHELPS
- Practice address
- 755 N Broadway
Suite 560
Sleepy Hollow, NY 10591-1075 - Phone
- (914) 631-0337
- Fax
- (914) 631-0552
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Mendelowitz, MEDICAL DOCTOR
- Title
- Partner Owner
- Phone
- (914) 631-0337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
755 N Broadway
Suite 560
Sleepy Hollow, NY 10591-1075
Mailing address
755 N Broadway
Suite 560
Sleepy Hollow, NY 10591-1075
Phone (914) 631-0337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01640528 | Medicaid | NY |
Other names 1
- Sleepy Hollow Medical Group PC
National Provider Directory
National Provider DirectoryLocations
755 N Broadway
Ste 560
Sleepy Hollow, NY 10591
Phone (914) 366-5400
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Sleepy Hollow, NY
- NPI 1508945288
-
- Midwife
- New York, NY
- NPI 1154350379
-
- Obstetrics & Gynecology Physician
- Sleepy Hollow, NY
- NPI 1356445464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1063580249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 N BROADWAY",
"address_2": "SUITE 560",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911075",
"telephone_number": "914-631-0337",
"fax_number": "914-631-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N BROADWAY",
"address_2": "SUITE 560",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911075",
"telephone_number": "914-631-0337",
"fax_number": "914-631-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPY HOLLOW MEDICAL GROUP@PHELPS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "MENDELOWITZ",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PARTNER OWNER",
"authorized_official_telephone_number": "914-631-0337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01640528",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sleepy Hollow Medical Group PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.