Organization Active NPI

Doc Medical Practice of Yonkers

  • Legal Medicine
  • Pelham, NY
National Provider Identifier
1326237702
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
245754 Issued in NY
Legal business name
DOC MEDICAL PRACTICE OF YONKERS
Practice address
Doc
116 Fifth Avenue
Pelham, NY 10803-1504
Phone
(914) 779-2995
NPI assigned
Oct 22, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Hanni George Youssef, MD
Title
Family Practice
Phone
(914) 779-2995

National Provider Directory

National Provider Directory
Tax ID family
Doc Medical Practice of Yonkers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

116 Fifth Ave
Pelham, NY 10803
Phone (914) 738-0005

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 245754 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

Doc
116 Fifth Avenue
Pelham, NY 10803-1504

Mailing address

Doc
116 Fifth Avenue
Pelham, NY 10803-1504
Phone (914) 779-2995

Other names 1

NPPES NPI Registry
  • none Former legal business name

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1326237702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DOC",
            "address_2": "116 FIFTH AVENUE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031504",
            "telephone_number": "914-779-2995",
            "fax_number": "914-779-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOC",
            "address_2": "116 FIFTH AVENUE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031504",
            "telephone_number": "914-779-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC MEDICAL PRACTICE OF YONKERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "HANNI",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "914-779-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "245754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pelham, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.