NPIMap

Organization Active NPI

Blythedale Childrens Hospital

  • Children's Rehabilitation Hospital
  • Valhalla, NY
National Provider Identifier
1275793465
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
License
380734 Issued in NY
Legal business name
BLYTHEDALE CHILDRENS HOSPITAL
Practice address
95 Bradhurst Ave
Valhalla, NY 10595-1637
Phone
(914) 592-7555
Fax
(914) 592-0712
NPI assigned
Jun 11, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mrs. Regina Kelly
Title
Vice President
Phone
(914) 592-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Rehabilitation Hospital 283XC2000X 380734 NY Primary

Addresses

Primary practice location

95 Bradhurst Ave
Valhalla, NY 10595-1637

Mailing address

8 Claudia CT
Tappan, NY 10983-1936
Phone (845) 365-6741

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
33D0990485Blythedale Childrens Hospital95 Bradhurst Avenue, Valhalla, NY 10595Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Blythedale Children's Hospital6 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1275793465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CLAUDIA CT",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831936",
            "telephone_number": "845-365-6741",
            "fax_number": "845-365-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BRADHURST AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951637",
            "telephone_number": "914-592-7555",
            "fax_number": "914-592-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYTHEDALE CHILDRENS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "914-592-7555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "NY",
            "license": "380734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.