Active NPI
Mount Kisco Medical Group PC
- Hematology & Oncology Physician
- Mount Kisco, NY
National Provider Identifier
1104863836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- MOUNT KISCO MEDICAL GROUP PC
- Practice address
- 34 South Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549 - Phone
- (914) 241-1050
- Fax
- (914) 242-1516
- NPI assigned
- Jun 1, 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
- Abe Levy, MD
- Title
- Medical Director
- Phone
- (914) 242-1587
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | |||
| Dermatology Physician | 207N00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Hematology (Internal Medicine) Physician | 207RH0000X | |||
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Gynecology Physician | 207VG0400X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Surgery Physician | 208600000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | |||
| Audiologist | 231H00000X | |||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
34 South Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549
Mailing address
90 S Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00547351 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Optum Medical Care PC
Other organizations with this tax ID 34
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
-
- Internal Medicine Physician
- Yorktown HTS, NY
- NPI 1023238714
-
- Obstetrics & Gynecology Physician
- Yorktown Heights, NY
- NPI 1407802481
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1740315217
-
- Internal Medicine Physician
- Katonah, NY
- NPI 1790904878
-
- Colon & Rectal Surgery Physician
- Poughkeepsie, NY
- NPI 1871530519
-
- Hematology & Oncology Physician
- Brewster, NY
- NPI 1982641619
-
- Internal Medicine Physician
- Mt. Kisco, NY
- NPI 1750319224
-
- Durable Medical Equipment & Medical Supplies
- Rhinebeck, NY
- NPI 1003772864
-
- Clinical Medical Laboratory
- Brewster, NY
- NPI 1013442029
-
- Durable Medical Equipment & Medical Supplies
- Rockville Centre, NY
- NPI 1013872878
-
- Durable Medical Equipment & Medical Supplies
- Poughkeepsie, NY
- NPI 1013873876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104863836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 S BEDFORD RD",
"address_2": "MOUNT KISCO MEDICAL GROUP PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493412",
"telephone_number": "914-241-1050",
"fax_number": "914-242-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SOUTH BEDFORD RD",
"address_2": "MOUNT KISCO MEDICAL GROUP PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-241-1050",
"fax_number": "914-242-1516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT KISCO MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "ABE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "914-242-1587",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00547351",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
- Mount Kisco Dental Group PLLC
- Mount Kisco Dentistry
- Mount Kisco Family Vision Care
- Mount Kisco Foot Specialists, PLLC
- Mount Kisco Medical & Injury Care, P.C.
- Mount Kisco Medical Group PC
- Mount Kisco Medical Group, PC
- Mount Kisco Oral Surgery PLLC
- Mount Kisco Physical Therapy & Chiropractic PLLC
- Mount Kisco Podiatry Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.