NPIMap

Organization Active NPI

Greenburgh Health Center

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1306908579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
130567 Issued in NY
Legal business name
GREENBURGH HEALTH CENTER
Practice address
330 Tarrytown Rd
White Plains, NY 10607-1424
Phone
(914) 989-7601
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dhimant A Pandya
Title
Internist
Phone
(914) 989-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 130567 NY Primary

Addresses

Primary practice location

330 Tarrytown Rd
White Plains, NY 10607-1424

Mailing address

330 Tarrytown Rd
White Plains, NY 10607-1424
Phone (914) 989-7601

Other identifiers 1

IdentifierTypeStateIssuer
00437967MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Mount Vernon Neighborhood Health Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

330 Tarrytown Rd
White Plains, NY 10607
Phone (914) 989-7600

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306908579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 TARRYTOWN RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071424",
            "telephone_number": "914-989-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TARRYTOWN RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071424",
            "telephone_number": "914-989-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBURGH HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "DHIMANT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "914-989-7600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "130567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00437967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.