Organization Active NPI

Hudson Medical Group PLLC

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1376733964
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214836 Issued in NY
Legal business name
HUDSON MEDICAL GROUP PLLC
Practice address
984 N Broadway
Suite 400a
Yonkers, NY 10701-1318
Phone
(914) 909-4522
Fax
(914) 909-4524
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Ana Silvia AndroneNPI 1295744902
Title
Secretary
Phone
(914) 400-7082

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 214836 NY Primary

Addresses

Primary practice location

984 N Broadway
Suite 400a
Yonkers, NY 10701-1318

Mailing address

20 Sussex PL
Bronxville, NY 10708-5711
Phone (914) 909-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000387 NY Part B Supplier - Clinic/Group Practice 9133218555 Receives reassigned benefits from 2 practitioners
Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Locations

984 N Broadway
Ste 400A
Yonkers, NY 10701
Phone (914) 909-4522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1376733964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUSSEX PL",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107085711",
            "telephone_number": "914-909-4522",
            "fax_number": "914-909-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "address_2": "SUITE 400A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-909-4522",
            "fax_number": "914-909-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "ANDRONE",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "SILVIA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "914-400-7082"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214836",
            "primary": true
        }
    ],
    "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 Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.