Organization Active NPI

Northern Respiratory Specialist, PC

  • Pulmonary Disease Physician
  • Mahopac, NY
National Provider Identifier
1538260344
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NORTHERN RESPIRATORY SPECIALIST, PC
Practice address
21 Clark PL
Northern Respiratory Specialist PC
Mahopac, NY 10541-4723
Phone
(845) 621-2211
Fax
(845) 621-2046
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Raj K Gupta, MD
Title
President
Phone
(845) 621-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

21 Clark PL
Northern Respiratory Specialist PC
Mahopac, NY 10541-4723

Mailing address

671 Route 6
Northern Respiratory Specialist, PC
Mahopac, NY 10541-1638
Phone (845) 621-2007

National Provider Directory

National Provider Directory

Locations

2 Stowe Rd
Ste 9
Peekskill, NY 10566
Phone (914) 736-7708

Practitioners & affiliated clinicians

Practitioners 3

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1538260344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 ROUTE 6",
            "address_2": "NORTHERN RESPIRATORY SPECIALIST, PC",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411638",
            "telephone_number": "845-621-2007",
            "fax_number": "845-621-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CLARK PL",
            "address_2": "NORTHERN RESPIRATORY SPECIALIST PC",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414723",
            "telephone_number": "845-621-2211",
            "fax_number": "845-621-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN RESPIRATORY SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-621-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.