Active NPI
Harvey H Lederman, MD
- Obstetrics & Gynecology Physician
- Poughkeepsie, NY
National Provider Identifier
1366482077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 128641
- Practice address
- 2507 South Rd
Mount Kisco Medical Group, PC
Poughkeepsie, NY 12601-5465 - Phone
- (845) 471-2287
- Fax
- (914) 242-1516
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 128641 | NY | Primary |
Addresses
Primary practice location
2507 South Rd
Mount Kisco Medical Group, PC
Poughkeepsie, NY 12601-5465
Mailing address
90 S Bedford Rd
Mount Kisco Medical Group, PC
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00535346 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128641 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1366482077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 S BEDFORD RD",
"address_2": "MOUNT KISCO MEDICAL GROUP, PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493412",
"telephone_number": "914-241-1050",
"fax_number": "914-242-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 SOUTH RD",
"address_2": "MOUNT KISCO MEDICAL GROUP, PC",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015465",
"telephone_number": "845-471-2287",
"fax_number": "914-242-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "HARVEY",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "128641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00535346",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.