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
- Last updated
- May 16, 2025
- 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
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
128 Ashford Ave
#2
Dobbs Ferry, NY 10522
Phone (914) 559-1107
141 S Central Ave
Ste 301
Hartsdale, NY 10530
Phone (914) 713-3228
28 Main St
Hastings on Hudson, NY 10706
Phone (914) 478-2504
30 S Highland Ave
Ste A
Ossining, NY 10562
Phone (914) 502-0070
155 White Plains Rd
Ste 107
Tarrytown, NY 10591
Phone (914) 332-7599
200 S Broadway
Ste 104
Tarrytown, NY 10591
Phone (914) 631-1535
1022 N Broadway
Ste 1
Yonkers, NY 10701
1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965
1088 N Broadway
#1
Yonkers, NY 10701
Phone (914) 233-9716
113 S Broadway
Yonkers, NY 10701
472 Palmer Rd
Fl 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, and the practitioner matching its NPPES authorized official.
-
- 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": [],
"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.