Organization Active NPI

Hudson Valley Women's Medical Group PC

  • Specialist
  • Yorktown Heights, NY
National Provider Identifier
1144430539
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
184544-1 Issued in NY
Legal business name
HUDSON VALLEY WOMEN'S MEDICAL GROUP PC
Practice address
200 Veterans Rd Ste 11
Yorktown Heights, NY 10598-4187
Phone
(914) 245-3056
Fax
(914) 962-9059
NPI assigned
May 23, 2007
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Dr. Carol Harracksingh, M.D.NPI 1518950906
Title
Owner
Phone
(914) 245-3056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 184544-1 NY Primary

Addresses

Primary practice location

200 Veterans Rd Ste 11
Yorktown Heights, NY 10598-4187

Mailing address

200 Veterans Rd Ste 11
Yorktown Heights, NY 10598-4187
Phone (914) 245-3056

Other identifiers 1

IdentifierTypeStateIssuer
01247089MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090409000335 NY Part B Supplier - Clinic/Group Practice 6002963055 Practice locations: Yorktown Heights, NY

National Provider Directory

National Provider Directory

Locations

200 Veterans Rd
Ste 11
Yorktown Hts, NY 10598
Phone (914) 245-3056

225 Veterans Rd
Ste 102
Yorktown Hts, NY 10598
Phone (914) 245-3056

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1144430539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VETERANS RD STE 11",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984187",
            "telephone_number": "914-245-3056",
            "fax_number": "914-962-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VETERANS RD STE 11",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984187",
            "telephone_number": "914-245-3056",
            "fax_number": "914-962-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY WOMEN'S MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "HARRACKSINGH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-245-3056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "184544-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.