NPIMap

Organization Active NPI

So Westchester Anesthesia PC

  • Anesthesiology Physician
  • Yonkers, NY
National Provider Identifier
1073897385
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
224543 Issued in NY
Legal business name
SO WESTCHESTER ANESTHESIA PC
Practice address
62 Pietro Dr
Yonkers, NY 10710-2010
Phone
(914) 319-3135
Fax
(631) 415-1334
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Leona Y Pan, M.D.
Title
Owner
Phone
(914) 319-3135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 224543 NY Primary

Addresses

Primary practice location

62 Pietro Dr
Yonkers, NY 10710-2010

Mailing address

62 Pietro Dr
Yonkers, NY 10710-2010
Phone (914) 319-3135

Other identifiers 1

IdentifierTypeStateIssuer
02387497MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1073897385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PIETRO DR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102010",
            "telephone_number": "914-319-3135",
            "fax_number": "631-415-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PIETRO DR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102010",
            "telephone_number": "914-319-3135",
            "fax_number": "631-415-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO WESTCHESTER ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-319-3135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "224543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02387497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.