NPIMap

Organization Active NPI

Doctors United, Inc

  • Special Hospital
  • White Plains, NY
National Provider Identifier
1508979162
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
02049085 Issued in NY
Legal business name
DOCTORS UNITED, INC
Practice address
174 Grand St
White Plains, NY 10601-4803
Phone
(914) 328-8077
Fax
(914) 328-6083
NPI assigned
Aug 17, 2006
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Diana Baker
Title
Credentialing Department
Phone
(914) 328-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 02049085 NY Primary

Addresses

Primary practice location

174 Grand St
White Plains, NY 10601-4803

Mailing address

174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077

Other identifiers 1

IdentifierTypeStateIssuer
02049085MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000115 NY Part B Supplier - Clinic/Group Practice 1153212162 Receives reassigned benefits from 75 practitioners
Practice locations: Ardsley, NY; Bronx, NY; Brooklyn, NY; White Plains, NY; Yonkers, NY

National Provider Directory

National Provider Directory

Locations

1 Bridge St
Ardsley, NY 10502
Phone (914) 693-8782

907 E Tremont Ave
Bronx, NY 10460
Phone (718) 589-9588

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

Practitioners & affiliated clinicians

Practitioners 148

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 148

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1508979162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS UNITED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING DEPARTMENT",
        "authorized_official_telephone_number": "914-328-8077"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NY",
            "license": "02049085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02049085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2016; 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.