Organization Active NPI

Hillcrest Medical Associates, P.C,.

  • Pediatrics Physician
  • Nanuet, NY
National Provider Identifier
1114193273
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HILLCREST MEDICAL ASSOCIATES, P.C,.
Practice address
205 Airport Executive Park
Nanuet, NY 10954-5262
Phone
(845) 356-3610
Fax
(845) 352-4003
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Risa Gorelick, M.D.
Title
Physician
Phone
(845) 356-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X NY Primary

Addresses

Primary practice location

205 Airport Executive Park
Nanuet, NY 10954-5262

Mailing address

205 Airport Executive Park
Nanuet, NY 10954-5262
Phone (845) 356-3610

Other identifiers 1

IdentifierTypeStateIssuer
00934670MedicaidNY

National Provider Directory

National Provider Directory

Locations

200 Airport Executive Park
#205
Nanuet, NY 10954

200 Airport Executive Park
Ste 205
Nanuet, NY 10954
Phone (845) 356-3610

200 Airport Executive Park
Nanuet, NY 10954

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1114193273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-356-3610",
            "fax_number": "845-352-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-356-3610",
            "fax_number": "845-352-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST MEDICAL ASSOCIATES, P.C,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "RISA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-356-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.