NPIMap

Organization Active NPI

Westchester Surgical Associates, PLLC

  • Surgery Physician
  • Valhalla, NY
National Provider Identifier
1336544386
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
144109 Issued in NY
Legal business name
WESTCHESTER SURGICAL ASSOCIATES, PLLC
Practice address
401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326
Phone
(914) 909-3953
NPI assigned
Nov 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. Heena Rajdeo, M.D.
Title
Managing Owner
Phone
(914) 462-1822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 144109 NY Primary

Addresses

Primary practice location

401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326

Mailing address

PO Box 219
Croton on Hudson, NY 10520-0219
Phone (914) 909-3953

Other identifiers 1

IdentifierTypeStateIssuer
04010555MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1336544386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105200219",
            "telephone_number": "914-909-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLUMBUS AVE LOWR LEVEL",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951326",
            "telephone_number": "914-909-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "RAJDEO",
        "authorized_official_first_name": "HEENA",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "914-462-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "144109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.