Active NPI
St. John'S Riverside Hospital-Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Yonkers, NY
National Provider Identifier
1295765840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- ST. JOHN'S RIVERSIDE HOSPITAL-PATHOLOGY
- Practice address
- 967 N Broadway
Yonkers, NY 10701-1301 - Phone
- (914) 966-9787
- Fax
- (914) 966-9793
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Silvia Ugalde
- Title
- Assistant Vice President
- Phone
- (914) 964-9787
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
O20040719001272
-
- Cardiovascular Disease Physician
- Yonkers, NY
- NPI 1144262924
O20040719001272
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1790728053
O20040719001272
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1184667974
O20040719001272
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1235171018
O20040719001272
-
- Pulmonary Disease Physician
- Yonkers, NY
- NPI 1104856756
O20040719001272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040719001272 | NY | Part B Supplier - Clinic/Group Practice | 5799764031 |
Receives reassigned benefits from 6 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yonkers, NY |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
967 N Broadway
Yonkers, NY 10701-1301
Mailing address
PO Box 998
Attn: Riverside Management Services Org
Yonkers, NY 10703-0998
Phone (914) 966-9787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2007.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1295765840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 998",
"address_2": "ATTN: RIVERSIDE MANAGEMENT SERVICES ORG",
"city": "YONKERS",
"state": "NY",
"postal_code": "107030998",
"telephone_number": "914-966-9787",
"fax_number": "914-966-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011301",
"telephone_number": "914-966-9787",
"fax_number": "914-966-9793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN'S RIVERSIDE HOSPITAL-PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "UGALDE",
"authorized_official_first_name": "SILVIA",
"authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT",
"authorized_official_telephone_number": "914-964-9787"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
- St. John'S Riverside Hospital
- St. John'S Riverside Hospital-Cardiology
- St. John'S Riverside Hospital-Eeg
- St. John'S Riverside Hospital-ER
- St. John'S Riverside Hospital-HS
- St. Johns Riverside Hospital-Pulmonary
- St. Joseph'S Hospital & Medical Center
- St. Joseph'S Hospital & Medical Center
- St. Joseph'S Hospital & Medical Center
- St. Joseph'S Hospital MMTP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.