NPIMap

Organization Active NPI

Julia Dyckman Andrus Memorial, Inc.

Doing business as Andrus Childrens Center

  • Community/Behavioral Health Agency
  • White Plains, NY
National Provider Identifier
1285628552
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7257001A Issued in NY
Legal business name
JULIA DYCKMAN ANDRUS MEMORIAL, INC.
Doing business as
Andrus Childrens Center
Practice address
19 Greenridge Ave
White Plains, NY 10605-1201
Phone
(914) 949-7680
Fax
(914) 997-7942
NPI assigned
Sep 1, 2005
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Mr. Raul T Del Pilar
Title
Interim Ceo
Phone
(914) 965-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7257001A NY Primary

Addresses

Primary practice location

19 Greenridge Ave
White Plains, NY 10605-1201

Mailing address

1156 N Broadway
Yonkers, NY 10701-1108
Phone (914) 965-3700

Other names 1

  • Andrus Childrens Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000916 NY Part B Supplier - Clinic/Group Practice 8426084401 Receives reassigned benefits from 19 practitioners
Practice locations: Peekskill, NY; White Plains, NY; Yonkers, NY

National Provider Directory

National Provider Directory
Tax ID family
Julia Dyckman Andrus Memorial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

50 Dayton Ln
Peekskill, NY 10566
Phone (914) 736-3371

19 Greenridge Ave
White Plains, NY 10605
Phone (914) 949-7680

35 Dock St
Yonkers, NY 10701
Phone (914) 965-1109

Practitioners & affiliated clinicians

Practitioners 149

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 149

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1285628552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700",
            "fax_number": "914-965-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051201",
            "telephone_number": "914-949-7680",
            "fax_number": "914-997-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA DYCKMAN ANDRUS MEMORIAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "DEL PILAR",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "914-965-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "7257001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrus Childrens Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andrus Childrens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.