Individual provider Active NPI

Bronwyn Holmes-Mahtani, MD PEDIATRICIAN

  • Pediatrics Physician
  • Pleasantville, NY
National Provider Identifier
1235626052
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
314097 Issued in NY
Practice address
23 Hoanjovo LN
Pleasantville, NY 10570-2419
Phone
(914) 356-3046
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 314097 NY Primary

Addresses

Primary practice location

23 Hoanjovo LN
Pleasantville, NY 10570-2419

Mailing address

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001451 NY Practitioner - Pediatric Medicine 8921495102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
314097NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Pediatrics CurrentSince Apr 23, 2022 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Apr 23, 2022 Accepting new patients
Garnet Health Doctors PC CurrentSince May 1, 2023 Accepting new patients
Garnet Health Doctors PC CurrentSince May 1, 2023 Accepting new patients
Garnet Health Medical Center Past Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1235626052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-454-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HOANJOVO LN",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702419",
            "telephone_number": "914-356-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES-MAHTANI",
        "first_name": "BRONWYN",
        "credential": "MD PEDIATRICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "314097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

Verify at the official NPI Registry.