Organization Active NPI

New Rochelle Medical Services, PC

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1225002314
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW ROCHELLE MEDICAL SERVICES, PC
Practice address
16 Guion PL
New Rochelle, NY 10801-5503
Phone
(914) 365-3160
Fax
(914) 365-5150
NPI assigned
Feb 15, 2006
Organization subpart
Yes
Parent organization
SOUND SHORE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Stephen Jesmajian, MD
Title
Medical Director
Phone
(914) 365-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

16 Guion PL
New Rochelle, NY 10801-5503

Mailing address

16 Guion PL
Iselin Hall, Room 107
New Rochelle, NY 10801-5502
Phone (914) 365-3353

Other identifiers 1

IdentifierTypeStateIssuer
01480560MedicaidNY

National Provider Directory

National Provider Directory
Part of
Sound Shore Medical Center Department of Anesthesia

Locations

110 Lockwood Ave
Ste 300
New Rochelle, NY 10801
Phone (914) 632-8164

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1225002314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "address_2": "ISELIN HALL, ROOM 107",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-365-3353",
            "fax_number": "914-365-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015503",
            "telephone_number": "914-365-3160",
            "fax_number": "914-365-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROCHELLE MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUND SHORE MEDICAL CENTER",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "JESMAJIAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-365-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01480560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.