Divinity Medical Services PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DIVINITY MEDICAL SERVICES PLLC

Practice address

3379 Crompond Rd
Yorktown Heights, NY 10598-3605

Phone

(914) 930-5550

Fax

(914) 930-5551

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Rajesh Gupta, MDNPI 1902891393

Title

Medical Director

Phone

(914) 242-8318

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh Gupta, MD

  • Obesity Medicine (Preventive Medicine) Physician
  • Mount Kisco, NY
  • NPI 1902891393
  NPD (past) Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1316511488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 CROMPOND RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983605",
            "telephone_number": "914-930-5550",
            "fax_number": "914-930-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 CROMPOND RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983605",
            "telephone_number": "914-930-5550",
            "fax_number": "914-930-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Gramatan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105501291",
            "country_code": "US",
            "telephone_number": "914-202-4830",
            "fax_number": "914-202-4834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104564208",
            "country_code": "US",
            "telephone_number": "646-612-7747",
            "fax_number": "646-627-7719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "359 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Hartsdale",
            "state": "NY",
            "postal_code": "105301811",
            "country_code": "US",
            "telephone_number": "914-448-2273",
            "fax_number": "914-448-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 N Airmont Rd",
            "address_purpose": "LOCATION",
            "city": "Airmont",
            "state": "NY",
            "postal_code": "109015152",
            "country_code": "US",
            "telephone_number": "845-547-0300",
            "fax_number": "845-547-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5546 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104635250",
            "country_code": "US",
            "telephone_number": "917-688-4590",
            "fax_number": "917-688-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515627",
            "country_code": "US",
            "telephone_number": "347-329-4010",
            "fax_number": "347-329-4009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13525 79th St",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "114141010",
            "country_code": "US",
            "telephone_number": "718-865-3488",
            "fax_number": "718-925-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINITY MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-242-8318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Dimaggio
• Molly R Dineen-Carey
• Matthew Dinowitz
• Leonard J Dipaolo, OD
• Leann Dittrich, FNP
• Divinity Medical Services PLLC
• Briana Dodge, CASAC-T
• Linda A Doherty, LPN
• Diana Doscas, OD
• Rose Eilonwy Dulude, MA, CCC-A

• Primary Care Clinic/Center in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.