NPIMap

Organization Active NPI

Mt Vernon Medical Care, PC

  • Multi-Specialty Clinic/Center
  • Mount Vernon, NY
National Provider Identifier
1215050935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MT VERNON MEDICAL CARE, PC
Practice address
704 Locust St
Mount Vernon, NY 10552-2111
Phone
(914) 699-6763
Fax
(914) 699-0070
NPI assigned
Apr 9, 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. Landis Barnes, DO
Title
President
Phone
(914) 699-6763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

704 Locust St
Mount Vernon, NY 10552-2111

Mailing address

704 Locust St
Mount Vernon, NY 10552-2111
Phone (914) 699-6763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215050935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LOCUST ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522111",
            "telephone_number": "914-699-6763",
            "fax_number": "914-699-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LOCUST ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522111",
            "telephone_number": "914-699-6763",
            "fax_number": "914-699-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT VERNON MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LANDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-699-6763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, 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.