NPIMap

Organization Active NPI

Putnam Valley Pediatrics, P.C.

  • Pediatrics Physician
  • Putnam Valley, NY
National Provider Identifier
1194722868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
118059 Issued in NY
Legal business name
PUTNAM VALLEY PEDIATRICS, P.C.
Practice address
4 Morrissey Dr
Putnam Valley, NY 10579-3018
Phone
(845) 528-5222
Fax
(845) 528-8589
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Millar Zurhellen, M.D.
Title
Ceo
Phone
(845) 528-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 118059 NY Primary

Addresses

Primary practice location

4 Morrissey Dr
Putnam Valley, NY 10579-3018

Mailing address

4 Morrissey Dr
Putnam Valley, NY 10579-3018
Phone (845) 528-5222

National Provider Directory

National Provider Directory

Locations

4 Morrissey Dr
Putnam Valley, NY 10579
Phone (845) 528-5222

Practitioners & affiliated clinicians

Practitioners 4

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194722868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MORRISSEY DR",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793018",
            "telephone_number": "845-528-5222",
            "fax_number": "845-528-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MORRISSEY DR",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793018",
            "telephone_number": "845-528-5222",
            "fax_number": "845-528-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM VALLEY PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZURHELLEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MILLAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-528-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "118059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.