NPIMap

Organization Active NPI

Sound Shore Medical Center

  • General Practice Physician
  • New Rochelle, NY
National Provider Identifier
1255384046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOUND SHORE MEDICAL CENTER
Practice address
16 Guion Place
New Rochelle, NY 10802
Phone
(914) 664-8000
Fax
(914) 664-1877
NPI assigned
May 19, 2006
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
Mr. Thomas Daly, SRVP CFO
Title
Sr VP Cfo
Phone
(914) 637-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

16 Guion Place
New Rochelle, NY 10802

Mailing address

16 Guion Place
New Rochelle, NY 10802
Phone (914) 664-8000

Other identifiers 1

IdentifierTypeStateIssuer
274126MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Sound Shore Medical Center Department of Anesthesia6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255384046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUION PLACE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10802",
            "telephone_number": "914-664-8000",
            "fax_number": "914-664-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PLACE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10802",
            "telephone_number": "914-664-8000",
            "fax_number": "914-664-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SHORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "914-637-1505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SRVP CFO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274126",
            "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 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.