NPIMap

Medical Group of New York, P.C.

Organization Active NPI Family Nurse Practitioner · Eastchester, NY

NPI 1487983516 · NPPES record last updated Mar 4, 2025

Key facts

NPI
1487983516
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
MEDICAL GROUP OF NEW YORK, P.C.
Practice address
375 White Plains Rd
Eastchester, NY 10709-2826
Phone
(866) 389-2727
Fax
(401) 406-3539
NPI assigned
Dec 21, 2009
Organization subpart
No

Authorized official

Name
Deborah Pincince
Title
Administrator
Phone
(401) 770-3813

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 180

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

View all 180

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110216000235 NY Part B Supplier - Clinic/Group Practice 2567642044 Receives reassigned benefits from 173 practitioners
Practice locations: Bronx, NY; White Plains, NY; Syosset, NY; Staten Island, NY; Somers, NY; New York, NY; Merrick, NY; Elmont, NY…

National Provider Directory

Tax ID family
George Safran MD PC (3 organizations share this tax ID)

Locations

1797 Dutch Broadway
Elmont, NY 11003
Phone (516) 561-1340

2291 Merrick Rd
Merrick, NY 11566
Phone (516) 378-8222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

10 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-3651

241 W 57th St
New York, NY 10019
Phone (212) 247-5848

1619 Broadway
New York, NY 10019
Phone (646) 416-5752

2000 Commerce St
Yorktown Heights, NY 10598
Phone (914) 245-0292

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 106H00000X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X Yes

Addresses

Primary practice location

375 White Plains Rd
Eastchester, NY 10709-2826

Mailing address

PO Box 772
Minuteclinic Credentialing-Mc2295
Woonsocket, RI 02895-0784
Phone (401) 770-3813

Other names

  • GEORGE SAFRAN, M.D., P.C. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2025.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1487983516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "MINUTECLINIC CREDENTIALING-MC2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784",
            "telephone_number": "401-770-3813",
            "fax_number": "401-406-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092826",
            "telephone_number": "866-389-2727",
            "fax_number": "401-406-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF NEW YORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGE SAFRAN, M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eastchester, NY

All providers in Eastchester, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.