Organization Active NPI

The New York and Presbyterian Hosp

  • Neurology Physician
  • White Plains, NY
National Provider Identifier
1063683068
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
THE NEW YORK AND PRESBYTERIAN HOSP
Practice address
21 Bloomingdale Rd
Mailbox 159
White Plains, NY 10605-1504
Phone
(914) 682-9100
NPI assigned
Mar 18, 2008
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Ms. Faye Colosi
Title
Dir of Finance WD
Phone
(914) 997-5816

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Internal Medicine Physician 207R00000X
Gynecology Physician 207VG0400X
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

21 Bloomingdale Rd
Mailbox 159
White Plains, NY 10605-1504

Mailing address

21 Bloomingdale Rd
Mailbox 159
White Plains, NY 10605-1504
Phone (914) 682-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000051 NY Part B Supplier - Clinic/Group Practice 5890684294 Receives reassigned benefits from 188 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: White Plains, NY; New York, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
Rm 211
White Plains, NY 10605

Practitioners & affiliated clinicians

Practitioners 92

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.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1063683068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE RD",
            "address_2": "MAILBOX 159",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051504",
            "telephone_number": "914-682-9100",
            "fax_number": "914-997-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE RD",
            "address_2": "MAILBOX 159",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051504",
            "telephone_number": "914-682-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW YORK AND PRESBYTERIAN HOSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "COLOSI",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "DIR OF FINANCE WD",
        "authorized_official_telephone_number": "914-997-5816",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.