Active NPI
Montefiore New Rochelle Hospital
- General Acute Care Hospital
- Yonkers, NY
National Provider Identifier
1295163244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MONTEFIORE NEW ROCHELLE HOSPITAL
- Practice address
- 100 Corporate Dr
Provider Information
Yonkers, NY 10701-6807 - Phone
- (914) 377-4722
- NPI assigned
- Oct 29, 2013
- Last updated
- Dec 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John M Preolo
- Title
- Senior Director, Credentialing
- Phone
- (914) 608-5063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
100 Corporate Dr
Provider Information
Yonkers, NY 10701-6807
Mailing address
16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 632-5000
Other names 2
- Montefiore New Rochelle Hospital
- Montefiore New Rochelle Professional Billing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150310001611 | NY | Part B Supplier - Clinic/Group Practice | 0345474706 |
Receives reassigned benefits from 223 practitioners Practice locations: New Rochelle, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- General Acute Care Hospital
- New Rochelle, NY
- NPI 1720414154
0345474706
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 230
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.
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- Orthopaedic Surgery Physician
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- Internal Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1295163244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GUION PL",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015502",
"telephone_number": "914-632-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORPORATE DR",
"address_2": "PROVIDER INFORMATION",
"city": "YONKERS",
"state": "NY",
"postal_code": "107016807",
"telephone_number": "914-377-4722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTEFIORE NEW ROCHELLE HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "PREOLO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SENIOR DIRECTOR, CREDENTIALING",
"authorized_official_telephone_number": "914-608-5063"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montefiore New Rochelle Hospital",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Montefiore New Rochelle Professional Billing",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Montefiore New Rochelle Professional Billing",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.