Organization Active NPI

Westchester Myofunctional Specialties

  • Specialist
  • Scarsdale, NY
National Provider Identifier
1194390146
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WESTCHESTER MYOFUNCTIONAL SPECIALTIES
Practice address
774 White Plains Rd Ste 250
Scarsdale, NY 10583-5030
Phone
(914) 348-3486
NPI assigned
May 21, 2021
Organization subpart
Yes
Parent organization
PREMIER HEALTH STAFFING SOLUTION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Mrs. Hetal SutariaNPI 1780388587
Title
Myofunctional Therapist
Phone
(914) 439-7837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 125K00000X
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

774 White Plains Rd Ste 250
Scarsdale, NY 10583-5030

Mailing address

774 White Plains Rd Ste 250
Scarsdale, NY 10583-5030
Phone (914) 348-3486

Other names 1

  • Westchester Myofunctional Specialties Doing business as

National Provider Directory

National Provider Directory
Part of
Westchester Myofunctional Specialties

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": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1194390146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 WHITE PLAINS RD STE 250",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835030",
            "telephone_number": "914-348-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 WHITE PLAINS RD STE 250",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835030",
            "telephone_number": "914-348-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER MYOFUNCTIONAL SPECIALTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH STAFFING SOLUTION LLC",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "SUTARIA",
        "authorized_official_first_name": "HETAL",
        "authorized_official_title_or_position": "MYOFUNCTIONAL THERAPIST",
        "authorized_official_telephone_number": "914-439-7837",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Myofunctional Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2021; 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.