NPIMap

Organization Active NPI

Medagent Corp

Doing business as Mensana Center

  • Clinic/Center
  • Cortlandt Manor, NY
National Provider Identifier
1245301928
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDAGENT CORP
Doing business as
Mensana Center
Practice address
7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone
(914) 962-5800
Fax
(815) 301-5504
NPI assigned
Nov 13, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Sylvio Burcescu, MD
Title
Manager
Phone
(914) 962-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7 Croton Ave
Cortlandt Manor, NY 10567-5203

Mailing address

7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800

Other names 1

  • Mensana Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311000502 NY Part B Supplier - Clinic/Group Practice 4789900796 Receives reassigned benefits from 31 practitioners
Practice locations: Cortlandt Manor, NY; Flushing, NY; Middletown, NY; Mohegan Lake, NY; Montebello, NY; New Rochelle, NY; Port Jervis, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2019452Mensana Center7 Croton Avenue, Cortlandt Manor, NY 10567Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

7 Croton Ave
Cortlandt Mnr, NY 10567
Phone (914) 962-5800

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1245301928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CROTON AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675203",
            "telephone_number": "914-962-5800",
            "fax_number": "815-301-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CROTON AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675203",
            "telephone_number": "914-962-5800",
            "fax_number": "815-301-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAGENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "BURCESCU",
        "authorized_official_first_name": "SYLVIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-962-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mensana Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.