Individual provider Active NPI

Manita Sawhney, DO

  • Internal Medicine Physician
  • Cornwall, NY
National Provider Identifier
1255564969
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265558 Issued in NY
Practice address
Hudson Vista Medical, PC
21 Laurel Avenue, Suite 280
Cornwall, NY 12518
Phone
(845) 534-7080
Fax
(845) 534-4171
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT012337 PA
Internal Medicine Physician 207R00000X 265558 NY Primary

Addresses

Primary practice location

Hudson Vista Medical, PC
21 Laurel Avenue, Suite 280
Cornwall, NY 12518

Mailing address

Hudson Vista Medical, PC
19 Laurel Avenue
Cornwall, NY 12518
Phone (845) 458-4853

Other identifiers 1

IdentifierTypeStateIssuer
3469954MedicaidNY

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
I20120806000122 NY Practitioner - Internal Medicine 9234385311 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012337PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Vista Medical,PC Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Mid Hudson Physicians, P.C. Internal Medicine CurrentSince Jul 6, 2017 Accepting new patients

Locations

21 Laurel Ave
Ste 280
Cornwall, NY 12518
Phone (845) 534-5768

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

19 Laurel Ave
Cornwall, NY 12518
Phone (845) 343-6368

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1255564969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUDSON VISTA MEDICAL, PC",
            "address_2": "19 LAUREL AVENUE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "12518",
            "telephone_number": "845-458-4853",
            "fax_number": "845-458-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUDSON VISTA MEDICAL, PC",
            "address_2": "21 LAUREL AVENUE, SUITE 280",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "12518",
            "telephone_number": "845-534-7080",
            "fax_number": "845-534-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWHNEY",
        "first_name": "MANITA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT012337",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3469954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

Verify at the official NPI Registry.