Organization Active NPI

Eugene J Sidoti Jr MD PC

Doing business as Scarsdale Plastic Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • Scarsdale, NY
National Provider Identifier
1508183120
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
175407 Issued in NY
Legal business name
EUGENE J SIDOTI JR MD PC
Doing business as
Scarsdale Plastic Surgical Suite
Practice address
688 White Plains Rd
Suite 220
Scarsdale, NY 10583-5059
Phone
(914) 472-7200
Fax
(914) 472-7527
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Eugene John Sidoti Jr., MDNPI 1316958945
Title
President
Phone
(914) 472-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 175407 NY Primary

Addresses

Primary practice location

688 White Plains Rd
Suite 220
Scarsdale, NY 10583-5059

Mailing address

688 White Plains Rd
Suite 220
Scarsdale, NY 10583-5059
Phone (914) 472-7200

Other names 1

  • Scarsdale Plastic Surgical Suite Doing business as

National Provider Directory

National Provider Directory

Locations

688 White Plains Rd
Ste 220
Scarsdale, NY 10583
Phone (914) 472-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1508183120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 WHITE PLAINS RD",
            "address_2": "SUITE 220",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835059",
            "telephone_number": "914-472-7200",
            "fax_number": "914-472-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 WHITE PLAINS RD",
            "address_2": "SUITE 220",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835059",
            "telephone_number": "914-472-7200",
            "fax_number": "914-472-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE J SIDOTI JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "SIDOTI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-472-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "175407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scarsdale Plastic Surgical Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.