NPIMap

Organization Active NPI

Bon Secours Charity Health System Inc.

  • Emergency Medicine Physician
  • Suffern, NY
National Provider Identifier
1437590056
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BON SECOURS CHARITY HEALTH SYSTEM INC.
Practice address
255 Lafayette Ave
Suffern, NY 10901-4812
Phone
(845) 368-5000
Fax
(845) 368-5430
NPI assigned
Jul 11, 2013
Organization subpart
Yes
Parent organization
BON SECOURS CHARITY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Rodney Williams, MD
Title
Senior Vice President
Phone
(845) 368-5308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

255 Lafayette Ave
Suffern, NY 10901-4812

Mailing address

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

Other names 1

  • Good Samaritan Emergency Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

15 Matthews St
Ste 200
Goshen, NY 10924
Phone (845) 294-2011

90 Crystal Run Rd
Ste 201
Middletown, NY 10941
Phone (845) 294-2011

120 White Plains Rd
Ste 425
Tarrytown, NY 10591
Phone (845) 547-3802

200 White Plains Rd
Ste 300
Tarrytown, NY 10591
Phone (845) 547-3802

Practitioners & affiliated clinicians

Practitioners 11

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": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1437590056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5000",
            "fax_number": "845-368-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5000",
            "fax_number": "845-368-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS CHARITY HEALTH SYSTEM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS CHARITY HEALTH SYSTEM",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "845-368-5308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Emergency Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.