Active NPI
Rye Brook Neurology, PC
- Neurological Surgery Physician
- New Rochelle, NY
National Provider Identifier
1508959917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 206602
- Legal business name
- RYE BROOK NEUROLOGY, PC
- Practice address
- 77 Quaker Ridge Rd
Ste 207
New Rochelle, NY 10804-2808 - Phone
- (917) 272-2680
- NPI assigned
- Sep 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Audrie De Jesus
- Title
- President/ Owner
- Phone
- (212) 255-2333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 206602 | NY | Primary |
Addresses
Primary practice location
77 Quaker Ridge Rd
Ste 207
New Rochelle, NY 10804-2808
Mailing address
153 E 87TH St Apt 10B
New York, NY 10128-2708
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30440476 | Other | NY | MAGNACARE |
| 7745380 | Other | NY | CIGNA |
| DM6602 | Other | NY | ATLANTIS HEALTH PLAN |
| 2399196 | Other | NY | UHC |
| 7051585 | Other | NY | AETNA |
| P3241805 | Other | NY | OXFORD |
| 206602 | Other | NY | HIP |
| 01872586 | Medicaid | NY | |
| 4C9461 | Other | NY | HEALTH NET |
| 53N521 | Other | NY | EMPIRE BCBS |
| 030440476DE02 | Other | NY | CARE PLUS |
| 3099038 | Other | NY | GHI |
National Provider Directory
National Provider DirectoryLocations
77 Quaker Ridge Rd
Ste 207
New Rochelle, NY 10804
Phone (914) 320-7290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fort Worth, TX
- NPI 1336176387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1508959917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 E 87TH ST APT 10B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 QUAKER RIDGE RD",
"address_2": "STE 207",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042808",
"telephone_number": "917-272-2680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYE BROOK NEUROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "AUDRIE",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "212-255-2333"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "NY",
"license": "206602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "30440476",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7745380",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS HEALTH PLAN",
"identifier": "DM6602",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2399196",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7051585",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3241805",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "206602",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01872586",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "4C9461",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "53N521",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLUS",
"identifier": "030440476DE02",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "3099038",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.