Organization Active NPI

St. Anthony Community Hospital

  • Cardiovascular Disease Physician
  • Warwick, NY
National Provider Identifier
1396043501
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
105585 Issued in NY
Legal business name
ST. ANTHONY COMMUNITY HOSPITAL
Practice address
15 Maple Ave
Warwick, NY 10990-1028
Phone
(845) 986-2276
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Mrs. Nancy Vandemark
Title
Administrative Director
Phone
(845) 987-3952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 105585 NY Primary

Addresses

Primary practice location

15 Maple Ave
Warwick, NY 10990-1028

Mailing address

20 Grand St
3Rd Floor
Warwick, NY 10990-1035
Phone (866) 474-3900

Other names 1

  • SACH Professional Other name

National Provider Directory

National Provider Directory

Locations

55 Ronald Reagan Blvd
Warwick, NY 10990
Phone (845) 986-4949

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1396043501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST",
            "address_2": "3RD FLOOR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "866-474-3900",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901028",
            "telephone_number": "845-986-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "VANDEMARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "845-987-3952",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "105585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SACH Professional",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.