Organization Active NPI

Primary Care Medicine of New Rochelle, P.C.

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1245665827
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219975 Issued in NY
Legal business name
PRIMARY CARE MEDICINE OF NEW ROCHELLE, P.C.
Practice address
39 Grove Ave
New Rochelle, NY 10801-6254
Phone
(914) 380-0632
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. Andrew Ormson
Title
Credentialer
Phone
(917) 945-5436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 219975 NY Primary

Addresses

Primary practice location

39 Grove Ave
New Rochelle, NY 10801-6254

Mailing address

39 Grove Ave
New Rochelle, NY 10801-6254
Phone (914) 380-0632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1245665827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GROVE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016254",
            "telephone_number": "914-380-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GROVE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016254",
            "telephone_number": "914-380-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICINE OF NEW ROCHELLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "ORMSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "917-945-5436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219975",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 13, 2013; 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.