Organization Active NPI

Sleepy Hollow Medical Group@Phelps

  • Obstetrics & Gynecology Physician
  • Sleepy Hollow, NY
National Provider Identifier
1063580249
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Lawrence Mendelowitz, MEDICAL DOCTORNPI 1508945288
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01640528MedicaidNY

Other names 1

  • Sleepy Hollow Medical Group PC Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.