NPIMap

Organization Active NPI

Lawrence Medical Associates, PC

Doing business as NewYork-Presbyterian Medical Group/Westchester ED

  • Emergency Medicine Physician
  • Bronxville, NY
National Provider Identifier
1497260806
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LAWRENCE MEDICAL ASSOCIATES, PC
Doing business as
NewYork-Presbyterian Medical Group/Westchester ED
Practice address
55 Palmer Avenue
Department of Emergency Medicine
Bronxville, NY 10708-3403
Phone
(914) 787-1000
NPI assigned
Dec 7, 2017
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Rebecca Bertoline
Title
Quality Manager
Phone
(914) 739-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

55 Palmer Avenue
Department of Emergency Medicine
Bronxville, NY 10708-3403

Mailing address

55 Palmer Avenue
Department of Emergency Medicine
Bronxville, NY 10708-3403

Other names 1

  • NewYork-Presbyterian Medical Group/Westchester ED Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000017 NY Part B Supplier - Clinic/Group Practice 1759439631 Receives reassigned benefits from 566 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Vernon, NY; Valhalla, NY; New Rochelle, NY; New York, NY; Scarsdale, NY; Tuckahoe, NY; White Plains, NY; Yonkers, NY…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2391 Bell Blvd
Ste 201
Bayside, NY 11360
Phone (718) 224-2743

Practitioners & affiliated clinicians

Practitioners 136

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.

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1497260806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PALMER AVENUE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PALMER AVENUE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083403",
            "telephone_number": "914-787-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "BERTOLINE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "QUALITY MANAGER",
        "authorized_official_telephone_number": "914-739-0087"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewYork-Presbyterian Medical Group/Westchester ED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.