Organization Active NPI

Nyconn Orthopaedic & Rehabilitation Spcecialists, PLLC

  • Orthopaedic Surgery Physician
  • Mount Kisco, NY
National Provider Identifier
1114124658
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NYCONN ORTHOPAEDIC & REHABILITATION SPCECIALISTS, PLLC
Practice address
Northern Westchester Hospital
400 East Main Street, Suite 100
Mount Kisco, NY 10549
Phone
(914) 666-1725
Fax
(718) 652-0815
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
John D. Dowdle, MD
Title
Managing Member
Phone
(914) 684-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

Northern Westchester Hospital
400 East Main Street, Suite 100
Mount Kisco, NY 10549

Mailing address

2900 Westchester Ave
Suite 307
Purchase, NY 10577-2552
Phone (914) 249-7000

Other identifiers 1

IdentifierTypeStateIssuer
02736625009MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1114124658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESTCHESTER AVE",
            "address_2": "SUITE 307",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772552",
            "telephone_number": "914-249-7000",
            "fax_number": "914-249-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHERN WESTCHESTER HOSPITAL",
            "address_2": "400 EAST MAIN STREET, SUITE 100",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-666-1725",
            "fax_number": "718-652-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCONN ORTHOPAEDIC & REHABILITATION SPCECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "DOWDLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "914-684-6113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736625009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.