Southern Westchester Infectious Disease Group, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

SOUTHERN WESTCHESTER INFECTIOUS DISEASE GROUP, PLLC

Practice address

970 N Broadway
Suite 212
Yonkers, NY 10701-1309

Phone

(914) 376-1543

Fax

(914) 376-2761

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter B Berkey, M.D.NPI 1881761245

Title

President

Phone

(914) 376-1543

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Peter B Berkey, M.D.

  • Infectious Disease Physician
  • Fort Lauderdale, FL
  • NPI 1881761245

  Internal Medicine, NY

  Medicare reassignment NPD Authorized official
• Steven Anthony Barry, M.D.

  • Infectious Disease Physician
  • Yonkers, NY
  • NPI 1720156094

  Internal Medicine

  Medicare reassignment NPD
• Radhika Hariharan, M.D.

  • Infectious Disease Physician
  • Yonkers, NY
  • NPI 1194893461

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318723200000",
    "number": "1154482271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY",
            "address_2": "SUITE 212",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011309",
            "telephone_number": "914-376-1543",
            "fax_number": "914-376-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY",
            "address_2": "SUITE 212",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011309",
            "telephone_number": "914-376-1543",
            "fax_number": "914-376-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WESTCHESTER INFECTIOUS DISEASE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-10-16",
        "status": "A",
        "authorized_official_last_name": "BERKEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-376-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ3556",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01677807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Broadway Pharmacy
• South Yonkers Family Medicine,PLLC
• Southern Boulevard Medical Care PC
• Southern Westchester Diagnostic Imaging
• Southern Westchester Family Medicine, P.C.
• Southern Westchester Medical PC
• Southern Westchester Nephrology PLLC
• Southern Westchester OB/GYN Associates, LLP
• Southern Westchester Orthopedics & Sports Medicine Assoc. P.C.
• Southern Westchester Urgent Care PLLC

• Infectious Disease Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.