Pelham Pkwy Professional Medical Services of New York LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

Practice address

2157 White Plains Rd Ste a
Bronx, NY 10462

Phone

(718) 301-1100

NPI assigned

Nov 30, 2017

Last updated

Jun 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ami Almeda

Title

Credentialing Manager

Phone

(224) 318-0118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 33

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.

• Imtiaz Ahmad, M.D.

  • Diagnostic Radiology Physician
  • Yonkers, NY
  • NPI 1962494997
  Medicare reassignment Care Compare group NPD
• Jeromy Ryan Patterson, M.D.

  • Surgery Physician
  • Forest Hills, NY
  • NPI 1770877953
  Medicare reassignment Care Compare group NPD
• Sergio Alejandro Ramirez, M.D.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1811281439
  Medicare reassignment Care Compare group NPD
• Aaron Dov Reichman, M.D.

  • Vascular & Interventional Radiology Physician
  • Jamaica, NY
  • NPI 1487791927
  Medicare reassignment Care Compare group NPD
• J Timothy Riley, M D

  • Vascular Surgery Physician
  • Syracuse, NY
  • NPI 1609076629
  Medicare reassignment Care Compare group NPD
• Jacob White, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1386969210
  Medicare reassignment Care Compare group NPD
• Joseph E Graham, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ogden, UT
  • NPI 1578638383

  NY

  Medicare reassignment Care Compare group NPD
• Randi Harris, M.D.

  • Vascular Surgery Physician
  • Rochester, MN
  • NPI 1376997536

  NY

  Medicare reassignment Care Compare group NPD
• Matthew H. Smith, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1275869729

  NY

  Medicare reassignment Care Compare group NPD
• Yachao Zhang, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1689932071

  Multi-Specialty, NY

  Medicare reassignment Care Compare group NPD
• Michael C Banker, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1033157169
  Medicare reassignment NPD
• Stuart L Blackwood, M.D.

  • Vascular Surgery Physician
  • Syracuse, NY
  • NPI 1730321761
  Medicare reassignment NPD

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1063926962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650032",
            "telephone_number": "718-301-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 WHITE PLAINS RD STE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-301-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "ALMEDA",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "224-318-0118"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelham Parkway Vision Center Inc
• Pelham Pharmacy Inc
• Pelham Physical Medicine Inc
• Pelham Physical Medicine Inc
• Pelham Pkwy Medical of New York LLC
• Pelham Podiatry Group PC (Advanced Foot Care)
• Judey A Pelka, CDN
• Katrina Pell
• Salvatore Pellegrino, PHARM D
• Sheeba Catherine Pellegrino, N.P.

• Vascular Surgery Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.