NPIMap

Organization Active NPI

Westchester Park Pediatrics

  • Pediatrics Physician
  • White Plains, NY
National Provider Identifier
1497891139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
156681 Issued in NY
Legal business name
WESTCHESTER PARK PEDIATRICS
Practice address
222 Westchester Avenue
Suite 202
White Plains, NY 10604
Phone
(914) 761-1717
Fax
(914) 761-1711
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jody A Ross, MD
Title
Owner
Phone
(914) 761-1717

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 1979441 NY
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 156681 NY Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 196252 NY
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 153890 NY

Addresses

Primary practice location

222 Westchester Avenue
Suite 202
White Plains, NY 10604

Mailing address

222 Westchester Avenue
Suite 202
White Plains, NY 10604
Phone (914) 761-1717

Other names 1

  • PLLC Other name

National Provider Directory

National Provider Directory

Locations

3010 Westchester Ave
Ste 300
Purchase, NY 10577

3010 Westchester Ave
Ste 307
Purchase, NY 10577

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497891139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVENUE",
            "address_2": "SUITE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-761-1717",
            "fax_number": "914-761-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVENUE",
            "address_2": "SUITE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-761-1717",
            "fax_number": "914-761-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER PARK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-761-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1979441",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "156681",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "196252",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "153890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.