Organization Active NPI

Riverdale Medical Associates, P.C.

  • Gastroenterology Physician
  • Scarsdale, NY
National Provider Identifier
1174622781
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RIVERDALE MEDICAL ASSOCIATES, P.C.
Practice address
1 Christie PL # 407
Scarsdale, NY 10583-8302
Phone
(914) 723-9113
Fax
(718) 601-5642
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Stephen M. Brenner, M.D.
Title
Owner
Phone
(914) 723-9113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1 Christie PL # 407
Scarsdale, NY 10583-8302

Mailing address

1 Christie Place, #407
Scarsdale, NY 10583-0000
Phone (914) 723-9113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1174622781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHRISTIE PLACE, #407",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105830000",
            "telephone_number": "914-723-9113",
            "fax_number": "718-601-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHRISTIE PL # 407",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105838302",
            "telephone_number": "914-723-9113",
            "fax_number": "718-601-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-723-9113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.