Organization Active NPI

Hudson Valley Physical Medicine &Rehabilitation,PLLC

  • Physical Medicine & Rehabilitation Physician
  • Hawthorne, NY
National Provider Identifier
1194842526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
192626 Issued in NY
Legal business name
HUDSON VALLEY PHYSICAL MEDICINE &REHABILITATION,PLLC
Practice address
24 Saw Mill River Rd
Suite 204
Hawthorne, NY 10532-1541
Phone
(914) 592-9600
Fax
(914) 631-0943
NPI assigned
Mar 22, 2007
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. Joseph N Annichiarico, DONPI 1538226493
Title
President
Phone
(914) 592-9600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 192626 NY Primary

Addresses

Primary practice location

24 Saw Mill River Rd
Suite 204
Hawthorne, NY 10532-1541

Mailing address

24 Saw Mill River Rd
Suite 204
Hawthorne, NY 10532-1541
Phone (914) 592-9600

Other identifiers 3

IdentifierTypeStateIssuer
WS970OtherNYOXFORD ID NUMBER
1089696OtherNYUNITED HEALTH ID NUMBER
72Z981OtherNYBC-BS ID NUMBER

National Provider Directory

National Provider Directory

Locations

777 N Broadway
Ste 208
Sleepy Hollow, NY 10591
Phone (914) 366-3700

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194842526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD",
            "address_2": "SUITE 204",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321541",
            "telephone_number": "914-592-9600",
            "fax_number": "914-631-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD",
            "address_2": "SUITE 204",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321541",
            "telephone_number": "914-592-9600",
            "fax_number": "914-631-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY PHYSICAL MEDICINE &REHABILITATION,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANNICHIARICO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-592-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "192626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID NUMBER",
            "identifier": "WS970",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH ID NUMBER",
            "identifier": "1089696",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS ID NUMBER",
            "identifier": "72Z981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, 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.