Active NPI
SJR Medical, PC
- Multi-Specialty Clinic/Center
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SJR MEDICAL, PC
- Practice address
- 1088 North Broadway
Yonkers, NY 10701 - Phone
- (914) 207-0004
- Fax
- (914) 965-0107
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul P. Antonecchia, MD
- Title
- M.D
- Phone
- (914) 964-4965
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Nephrology Physician | 207RN0300X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Psychiatry Physician | 2084P0800X | |||
| Hospitalist Physician | 208M00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1088 North Broadway
Yonkers, NY 10701
Mailing address
PO Box 998
Attn: Riverside Management Services Org
Yonkers, NY 10703-0998
Phone (914) 966-9787
Other practice location 1
1022 North Broadway
Yonkers, NY 10701-1332
Phone (914) 904-4040
Other practice location 2
128 Ashford Avenue
2nd Floor
Dobbs Ferry, NY 10522-1924
Phone (914) 693-6500
Other practice location 3
1019 Yonkers Avenue
Yonkers, NY 10704-3070
Phone (914) 237-1941
Other practice location 4
2 Park Ave
Yonkers, NY 10703-3402
Phone (914) 966-9787 ext. 201
Other practice location 5
141 S. Central Avenue
Ste. 301
Hartsdale, NY 10530-2334
Phone (914) 713-3228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02384247 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2075539 | SJR Medical PC St John'S Medical Group | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
237 W 233rd St
Ofc 1
Bronx, NY 10463
Phone (718) 884-7100
1 Pondfield Rd
Ste 202
Bronxville, NY 10708
Phone (914) 695-2606
77 Pondfield Rd
Ste 2F3A
Bronxville, NY 10708
Phone (914) 771-9286
128 Ashford Ave
#2
Dobbs Ferry, NY 10522
Phone (914) 559-1107
28 Main St
Hastings on Hudson, NY 10706
Phone (914) 693-1982
30 S Highland Ave
Ste A
Ossining, NY 10562
Phone (914) 502-0070
970 N Broadway
Ste 308B
Yonkers, NY 10701
Phone (914) 423-8000
120 Odell Ave
Yonkers, NY 10701
Phone (718) 863-5511
750 McLean Ave
Yonkers, NY 10704
Phone (914) 237-8686
5 Odell Plz
Ste 131
Yonkers, NY 10701
Phone (914) 376-0296
472 Palmer Rd
Fl 1
Yonkers, NY 10701
970 N Broadway
Ste 212
Yonkers, NY 10701
Phone (914) 376-1543
113 S Broadway
Yonkers, NY 10701
1022 N Broadway
Ste 1
Yonkers, NY 10701
967 N Broadway
Fl 5
Yonkers, NY 10701
Phone (914) 964-4631
Practitioners & affiliated clinicians
Practitioners 60
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1437178860
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1295744902
-
- Specialist
- Yonkers, NY
- NPI 1518976000
-
- Family Medicine Physician
- Yonkers, NY
- NPI 1750459921
-
- Psychiatry Physician
- Dobbs Ferry, NY
- NPI 1184120727
-
- Family Medicine Physician
- Dobbs Ferry, NY
- NPI 1154301737
-
- Internal Medicine Physician
- New York, NY
- NPI 1174887830
-
- Nephrology Physician
- Yonkers, NY
- NPI 1366409229
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1093036469
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Yonkers, NY
- NPI 1760825210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1366468936",
"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": "1088 NORTH BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-207-0004",
"fax_number": "914-965-0107"
}
],
"practiceLocations": [
{
"address_1": "1022 North Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107011332",
"country_code": "US",
"telephone_number": "914-904-4040",
"fax_number": "914-904-4692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 Ashford Avenue",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Dobbs Ferry",
"state": "NY",
"postal_code": "105221924",
"country_code": "US",
"telephone_number": "914-693-6500",
"fax_number": "914-693-2800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1019 Yonkers Avenue",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107043070",
"country_code": "US",
"telephone_number": "914-237-1941",
"fax_number": "914-207-2420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Park Ave",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107033402",
"country_code": "US",
"telephone_number": "914-966-9787 x201",
"fax_number": "914-966-9793",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 S. Central Avenue",
"address_2": "STE. 301",
"address_purpose": "LOCATION",
"city": "Hartsdale",
"state": "NY",
"postal_code": "105302334",
"country_code": "US",
"telephone_number": "914-713-3228",
"fax_number": "914-713-3231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SJR MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "ANTONECCHIA",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "914-964-4965",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02384247",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.