Active NPI
Doctors United, Inc
- Special Hospital
- White Plains, NY
National Provider Identifier
1508979162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 02049085
- 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
- Organization subpart
- No
Practitioners 148
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Glen Cove, NY
- NPI 1053343020
NY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
907 E Tremont Ave
Bronx, NY 10460
Phone (718) 589-9588
176 Grand St
White Plains, NY 10601
Phone (914) 328-6080
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02049085 | Medicaid | NY |
NPI Registry JSON
{
"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.