Bon Secours Charity Health System Medical Group, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.

Practice address

20 Grand St
3Rd Floor
Warwick, NY 10990-1035

Phone

(845) 987-3906

Fax

(845) 987-5979

NPI assigned

Jun 8, 2006

Last updated

Jul 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauri Quigley

Title

Credentialing Manager

Phone

(845) 987-3906

Specialties & licenses 7

Addresses

Other identifiers 4

Other names 1

• GSH Medical Care, P.C. Other name

Medicare fee-for-service enrollment

Enrolled in NY, PA, NJ3 enrollments

Enrollment records 3

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469

  Member Of

  NPD member

Locations

Practitioners 258

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.

• Chhaya Aggarwal-Gupta, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Hawthorne, NY
  • NPI 1518124684
  Medicare reassignment Care Compare group NPD
• Omer Ahmed, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1235387119
  Medicare reassignment Care Compare group NPD
• Ahmed Maged Alabbady, MD.

  • Interventional Cardiology Physician
  • Stony Point, NY
  • NPI 1790030153

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Sophia Leonora Alexis, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Suffern, NY
  • NPI 1801328349
  Medicare reassignment Care Compare group NPD
• Mohammad Aminullah, M.D.

  • Cardiovascular Disease Physician
  • Nanuet, NY
  • NPI 1922027739
  Medicare reassignment Care Compare group NPD
• Yoram Amsalem, MD

  • Interventional Cardiology Physician
  • Suffern, NY
  • NPI 1679702625
  Medicare reassignment Care Compare group NPD
• Kenneth S Austin, MD

  • Orthopaedic Surgery Physician
  • Airmont, NY
  • NPI 1205834041
  Medicare reassignment Care Compare group NPD
• Frank R Aversano Jr., M.D.

  • Surgery Physician
  • Suffern, NY
  • NPI 1992893135

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kenneth Banner, MD

  • Gastroenterology Physician
  • New City, NY
  • NPI 1790917813
  Medicare reassignment Care Compare group NPD
• Shirley Bastien-Georges, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Suffern, NY
  • NPI 1477274561
  Medicare reassignment Care Compare group NPD
• Kristy Lyn Bauer, M.D.

  • Pulmonary Disease Physician
  • West Nyack, NY
  • NPI 1952508681

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Ross Bauer, MD

  • Urology Physician
  • West Nyack, NY
  • NPI 1336308873
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1487694345",
    "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": "845-987-3906",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRAND ST",
            "address_2": "3RD FLOOR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-987-3906",
            "fax_number": "845-987-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "845-987-3906"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03313839",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022201690002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG4866",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538477",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSH Medical Care, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GSH Medical Care, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah Bernstein, PSY.D.
• Karen Judith Berry, PH.D
• Brittney Blaikner
• Bluestone Acupuncture, PLLC
• Johanna Bolick, COTA
• Mary Bonomi
• Heather Botjer, LAC MS
• Kimberly Anne Brady, M.A. CCC-SLP
• Maureen Anne Brady, ANP-C
• James Kirk Brockunier, M.D.

• Internal Medicine Physician in Warwick, NY
• Providers in Warwick, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.